Tooth autotransplantation using an interdisciplinary approach to rehabilitation in a young patient: Case report with 7‐year follow‐up

Abstract

This case report demonstrates the possibility of functional and aesthetic rehabilitation using an interdisciplinary approach in a child following avulsion of a tooth. Autotransplantation after the development of calcific metamorphosis of the pulp and acute apical periodontitis provided satisfactory repair after root canal treatment. A 7‐year‐old white boy avulsed the right maxillary central incisor (tooth 11). The extra‐alveolar time exceeded 60 minutes, and this triggered external replacement resorption of the avulsed tooth. At 11 years of age, the child underwent tooth autotransplantation. After 4 years of follow‐up, intraoral clinical and radiographic examination led to the diagnosis of calcific metamorphosis of the pulp and acute apical periodontitis. The patient had minimally invasive root canal treatment, orthodontic treatment and esthetic rehabilitation with a porcelain crown. Control periapical radiography and tomography of the autotransplanted tooth after 7 years revealed bone repair in the periapical region. This case report indicates that tooth autotransplantation can be used to replace anterior teeth after avulsion followed by replacement resorption. Interdisciplinary management helped to maintain the esthetics and function of the rehabilitated area.

Multidisciplinary Treatment: Follow-Up of Dental Autotransplantation for 10 Years

“…8 Moreover, autotransplantation preserves bone tissue, showcasing its holistic dental care benefits. 9 This report highlights a clinical case involving autotransplantation of a mandibular premolar to replace a missing maxillary central incisor. The patient had additional missing teeth due to agenesis, and the treatment included surgery, orthodontics, endodontics, and aesthetic rehabilitation.…”

“… 8 Moreover, autotransplantation preserves bone tissue, showcasing its holistic dental care benefits. 9 …”

Erken Diş Kaybı ve Diş Eksikliğinde Alveolar Kemiğin Korunması

“…Ayrıca biyolojik aralığın oluşması ile yapışık diş etinin doğal şeklini alması ve interdental papillanın onarımının sağlanması gibi avantajları vardır. 29 Ototransplantasyonda prognozu etkileyen faktörler hastanın yaşı, cinsiyeti, donör dişin kök gelişim aşaması ile kök anatomisi, alıcı sahanın yeterli kemiğe sahip olması, donör dişin atravmatik çekimi ve hazırlanan boşluğa uyumu, dişin post-operatif stabilizasyonu, operasyon sonrası stabilizasyon süresi, işlem sonrası oral hijyen, alıcı sahada akut ya da kronik enfeksiyon varlığı, cerrahın tecrübesi, oklüzal kontaktların olmaması olarak sayılabilir. 23,30 Ayrıca üç boyutlu tekniklerin kullanımının komplikasyon riskini düşürüp, uzun dönem başarıyı arttırdığı belirtilmektedir.…”

Autotransplantation for Restoration of Dentition Defects After Excision of Jaw Cysts

“…1 Autologous tooth transplantation can form vigorous periodontal tissue, and donor teeth successfully reconstructed by pulp blood transfusion can maintain normal proprioception just like natural teeth. 2 Compared with titanium implants, autologous transplantation provides an autologous biological method for tooth replacement and has many advantages. 3 It is a more cost-effective method for tooth replacement and allows for the possibility of using an implant as a means of restoration in case of failure.…”

“…Autogenous tooth transplantation is the complete removal of an autogenous tooth and transplantation to another location for the same individual 1 . Autologous tooth transplantation can form vigorous periodontal tissue, and donor teeth successfully reconstructed by pulp blood transfusion can maintain normal proprioception just like natural teeth 2 …”