Autotransplantation of impacted teeth is a viable treatment option to restore missing teeth in the dentition. These days, implants have much better and more predictable result to replace missing teeth. A thermoplastic retainer for use after autotransplantation of third molar teeth is a reasonable and useful method and a good alternative to conventional rigid or semirigid splints. In these cases, one of the treatment options is dental autotransplantation, which consists in extracting and repositioning a tooth into a different site. Autotransplantation is a valuable alternative to extraction of impacted teeth, where surgical exposure and subsequent orthodontic realignment are difficult or. Autogenous tooth transplantation or autotransplantation is a surgical movement of a tooth from its original location to another site in the mouth within the same person. However it is seldom considered as treatment option, in large part. In addition, the patient was discouraged by the lengthy orthodontic treatment for the impacted teeth. Health, general bone resorption physiological aspects oral surgery methods orthodontics research tissue transplantation transplantation of organs, tissues, etc. Auto transplantation of maxillary impacted canine clinical study of 25 cases ali darweesh alsarraj 27 bas j surg, march, 15, 2009 level of oral hygiene and be amenable to regular dental care. Autotransplantation is defined as the transplantation of an embedded, impacted or erupted tooth from its original site to another extraction socket or surgically prepared site in the same individual 1. Both clinical and radiographic outcomes were considered satisfactory at 1 year postoperatively. Since it was first introduced by fauchard in his book, le chirurgien dentiste, in 1728, the clinical protocol had been developed for hundreds of years 1 3. The tooth autotransplantation using 3d replica with or without gbr is an.
The aim of autotransplantation of teeth att is to replace a lost tooth with a functional tooth within the same patient. Autotransplantation of a surgically removed canine using a. Autotransplantation of teeth with complete root formation. Autotransplantation of teeth 1, autotransplantation of tooth. The first edition of orthodontic treatment of impacted teeth was published 14 years ago and as with most medical specialties there are always new and interesting developments leading to changes in. Autotransplantation of mature and immature third molars in. This report describes the case of a 7yearold girl with multiple congenitally missing teeth and an impacted right mandibular second premolar. Autogenous tooth transplantation is a viable option in cases involving impacted teeth, congenitally missing teeth, tooth loss and ectopic teeth. The treatment options for impacted canines are no treatment, surgical intervention, removal, transplantation, prosthetic or restorative treatment, or surgical exposure with or without orthodontic traction to align the malpositioned tooth. A book that is currently on my bookshelf is impacted teeth by vince kokich. The vital option for replacement of missing anterior teeth in the developing dentition r.
Autotransplantation may provide a simplified and fastertreatment option for patients with ectopically cases of severe ectopic position of maxillary canines, transplantation can the recipientbe a consideredas a treatment. Autotransplantation of teeth has been defined as surgical transfer of impacted or erupted teeth into surgically prepared sockets within the same person 2, 3. Autotransplantation, endodontic treatment, impacted third molar, malpracticed extraction, maxillofacial specialty introduction tooth autotransplantation is the transplantation of ones own tooth and adjacent tissues from one site of the mouth to another edentulous site. An impacted left mandibular second molar tooth 37 was extracted, but most of its dental follicle remained in the socket.
Autotransplantation of teeth using computeraided rapid prototyping of a. The aim of autotransplantation of teeth att is to replace a lost tooth with a functional tooth within the same patient by transplanting a tooth from one site to another. Autotransplantation of impacted third molar using 3d. Available operations for wisdom teeth preservation springerlink. Along with dave matthews, kokich has over 40 years of experience. Autotransplantation and surgical uprighting of impacted or retained teeth.
The most important thing is that patients must have a suitable recipient site and donor tooth. Common indications for autotransplantation include the transplantation of impacted teeth to their normal position, agenesis of teeth, lost teeth as a result of caries or periodontal and. Tooth relocation involving a site previously occupied by odontomas is not common practice, as it is not part of any identified indication for autotransplantation. Autotransplantation of mandibular premolars with twothirds or threequarters of root formation provides the. The donor tooth can be an embedded, impacted, or erupted tooth, and the recipient site can be. Its brief process is that the donor tooth mostly an impact tooth or a supernumerary tooth. One of the more novel ways to address this dilemma was to transplant ones tooth from a different location in the mouth, into the position of an extracted tooth or missing tooth tooth autotransplantation. To avoid additional injury to the retained dental fol. The autotransplantation of a right mandibular third molar with compromised function and aesthetics to replace the residual roots resulting from coronal destruction due to extensive carious lesion of the second molar in the same quadrant was a viable treatment alternative.
Indications for the use of autotransplantation of teeth in the child and adolescent. Although most of the dental follicle of tooth 37 remained in the socket and on the retracted soft tissue flaps, a small amount was detached along with the extracted tooth 37 fig. Pdf autotransplantation of mature impacted tooth to a. For example, petersons contemporary oral and maxillofacial surgery states, if impacted teeth are left in the alveolar process, it is highly probable that one or more of a number of problems will result. She wanted the extraction of the mandibular right second premolar, which was a good candidate for.
Autotransplantation of premolar teeth to replace missing maxillary central incisor, british journal of orthodontics, vol. After extraction of the diseased molar, autotransplantation of a third molar was immediately performed. Autogenous tooth transplantation, or autotransplantation, is the surgical. Autotransplantation and orthodontic treatment after maxillary. The prognosis of a natural tooth, even if compromised due to periodontal or endodontic disease, may be longer than the one of an implant substitute. Postodontoma autotransplantation of an impacted tooth. Autotransplantation is a valuable alternative to the extraction of impacted teeth, where surgical exposure. Even if implantology is the most common therapy for replacing missing teeth, tooth autotransplantation should be considered as the elective treatment if a donor tooth is available. As an autogenic biological approach, autotransplantation has numerous advantages compared with other treatment options i. Autotransplantation of an unerupted wisdom tooth germ without its.
When performed under the proper indications, autotransplantation of teeth is a predictable technique that usually results in a good prognosis. Tooth transplantation, journal of prosthodontics, vol. Indications for the use of autotransplantation of teeth in. Autotransplantation, otherwise known as autogenous tooth transplantation, is the surgical movement of a tooth from one location in an individuals mouth to another location in their mouth. The 2 teeth were impacted by a large odontoma and the 2 roots were completely formed. The anterior maxilla is the most prone region to the trauma during childhood, and tooth loss sometimes happens due to trauma. The challenge in our treatment plan was in replacing the missing tooth. This paper presents successful autotransplantation of a mature mandibular left third molar 38 without anatomical variances is used to replace a mandibular left second molar 37.
Autotransplantation is the positioning of a tooth in the same individual, from a donor site to an extraction site or a surgically prepared socket. Pdf autotransplantation of teeth using computeraided rapid. Ppt tooth transplantation powerpoint presentation free to. Jul 27, 2016 the interim period of 2 weeks is chosen to minimise trauma to the pdl in the initial reattachment healing phase, yet further delay will increase the chance of complication of inflammatory resorption secondary to pulpal infection. Tooth autotransplantation, mature impacted tooth, 3d replica model, guided bone regeneration background the tooth autotransplantation is a predictable method to replace a tooth that needs to be extracted due to caries, trauma, or tooth fracture. Since it was first introduced by fauchard in his book, le chirurgien dentiste, in 1728, the clinical protocol had been developed for hundreds of years 1,2,3.
One of the first records of an att procedure was by a french physician, pierre fauchard, in his book le chirurgien dentiste published in 1728, in which he surgically moved a. Autotransplantation of teeth associated with dentigerous cyst. Many indications of autotransplantation have been identified, but our case which involved transplanting at a site previously occupied by a tumour is new. The full text of this article hosted at is unavailable due to technical difficulties. Autotransplantation offers a promising alternative option. Licensed to youtube by sme on behalf of mer recordings. Although it has recently become more of a recognized and viable treatment approach in dentistry, the longterm outcomes are still not welldocumented. The changes seen in immature teeth suggest that apoptosis is present and increases up to 12 weeks after replantation. This clinical atlas details the various procedures involved in autotransplantation. Autotransplantation of mature impacted tooth to a fresh molar socket. Indications, armamentarium, technique and prognosis will be discussed.
The maxillary canine is second only to the mandibular third molar in its frequency of impaction. Autotransplantation of an unerupted wisdom tooth germ without. An impacted tooth may develop several sequelae over time, like migration of the neighbouring teeth and loss of arch length, internal resorption andor external root. There are several options for successful replacement or masking of the. Autotransplantation of teeth can be a beneficial, long. Short oral presentations tooth autotransplantation info hub. It can be used in the treatment of displaced or impacted teeth and unilateral agenesis of premolars, and for the replacement of traumatized maxillary incisors. Autotransplantation has been done in the past with a second molar moving into the place of the first if root morphology is similar, but it would still need to be root canal treated and crowned.
Tooth reimplantation and transplantation have a long and difficult. Tooth autotransplantation is the process in which tooth, usually impacted. D, associate professor department of conservative dentistry seoul national. A number of factors have been proposed to affect success rates, such as root morphology, surgical technique and experience of the operator, stage of root formation, fixation type, and. The tooth autotransplantation is a predictable method to replace a tooth that needs to be extracted due to caries, trauma, or tooth fracture. A retrospective clinical study and evaluation of patient satisfaction. Autotransplantation of teeth associated with dentigerous. Sixtythree cases of maxillary canine autotransplantation from 49 subjects mean age at transplantation 21. Indications for autotransplantation autotransplantation is defined as the transplantation of embedded, impacted or erupted teeth from one site into extraction sites or surgically prepared sockets in the same person. Autotransplantation of odontomaassociated impacted teeth.
The impacted third molar was extracted without any damage to the tooth figure 2b, and it was inserted into the second molar site after making a small hole in the mesial root cavity of the extraction socket figures 2c,2d. This case report describes the use of autotransplantation as part of an orthodontic treatment plan where there was early loss of an upper molar tooth secondary to irreversible pulpitis. Autotransplantation of teeth in orthodontic treatment. Autogenous tooth transplantation as a treatment option. Its brief process is that the donor tooth mostly an impact tooth or a supernumerary tooth is. Report by european archives of paediatric dentistry. Impacted third molar transplantation on the malpracticed. Dental autotransplantation refers to the transplantation of a tooth from one site to another in the same individual. Autotransplantation of teeth with complete root formation is indicated for replacement of one or more teeth lost as a result of dental caries, periodontal disease, or trauma in adult patients 11. Autotransplantation is a viable option for maintaining a natural tooth when a donor tooth is available. Tooth autotransplantation as an alternative treatment option.
These factors are related to the integrity of the periodontal. May 07, 2016 autotransplantation of teeth in orthodontic treatment. Autotransplantation of an impacted premolar using collagen. Most commonly used ones are premolars, canines, incisors and third molars. Reported survival rates of autotransplantation vary from 74100%, artificially drilled recipient sockets tend to be at the lower end of the range of success rate.
The aim of this study was to evaluate survival and success rates following autotransplantation of permanent maxillary canine teeth. Since it was first introduced by fauchard in his book, le chirurgien dentiste. For the normal positioned wisdom tooth, if it has the occlusal relationship with the teeth in the opposite jaw, or its crown. A tooth is impacted when it fails to erupt due to an obstacle such as the presence of a supernumerary. Autotransplantation, decompression, impacted teeth, dentigerous cyst, bone induction introduction autogenous tooth transplantation or dental autotransplantation may be defined as the transplantation of embedded, impacted or erupted teeth from one site to another in the same individual into extraction sites or surgically prepared sockets. Auto transplantation may be defined as the transplantation of embedded, impacted or erupted teeth, from one site to another in the same individual in to extraction sites or surgically prepared sockets. The reported survival rate of autotransplantation is 90%100% 1, 2, 3. Autotransplantation of premolars british dental journal. Apr 08, 2017 tooth autotransplantation is a surgical procedure in which a tooth is extracted from 1 site and replanted to another site, or repositioned in the same socket.
Outcomes of autotransplanted teeth with complete root. This treatment requires a multidisciplinary approach from orthodontists, paediatric dentists, restorative dentists, and oral and maxillofacial surgeons to achieve successful outcomes. Text book and color atlas of traumatic injuries to the teeth, 1994 plainfield s. Management of congenitally absent teeth in one arch with crowding present in the other arch. However, if extemsive surgery is required or the patient has significant medical problems, the operation may be done in the hospital. Autotransplantation is a treatment option with high reported survival rates to replace failing teeth in the anterior maxilla. The tooth autotransplantation is a predictable method. Initially reports concentrated on autotransplantation of either third molars or impacted canines, however in the late 1950s reports began to appear regarding the autotransplantation of other teeth. For autotransplantation of a tooth to be successful, the conditions must be just right, but in the hands of experienced oral surgeons like drs. Removal of impacted teeth is a surgical procedure technically more difficult than a tonsillectomy or appendectomy. Often these modalities must be combined to obtain the best esthetic and functional results.
Abstract the aim of this article is to summarize the biologic principles required for successful autotransplantation of teeth. A case report fou shaou lai, dds abstract an impacted left mandibular second molar tooth 37 was extracted, but most of its dental follicle remained in the socket. There are several options for successful replacement or masking of the missing teeth, including orthodontic space closure, fixed or removable prosthetics, osseointegrated dental implants, and tooth autotransplantation. After a splinting and healing period of 23 weeks, endodontic treatment was carried out. Autotransplantation is contraindicated in patients with cardiac anomalies, poor oral hygiene, lack of selfmotivation and insufficient alveolar bone support. Autogenous tooth transplantation, or autotransplantation, is the surgical movement of a tooth from one location in the mouth to another in the same individual. Survival probability of dental autotransplantation of 366.
The autotransplantation and orthodontic treatment of. Tooth autotransplantation, mature impacted tooth, 3d replica model, guided bone regeneration. Prior to the discovery of dental implants, most surgeons were only left with a few options to replace teeth. Yanosky, dmd, ms missing multiple anterior teeth presents a tremendous challenge for the dental team. Impacted mandibular second molars are a rather uncommon problem with an incidence of 3 in 1,000 and often pose a challenge for orthodontists and oral surgeons 2. Endodontic treatment after autotransplantation of tooth with. An impacted lower third molar, which had symptoms of pericoronitis, was transplanted into the upper left second molar socket. Autotransplantation of palatally impacted maxillary canine. Autotransplantation of teeth can be considered in the following circumstances. These respected men have put together a visually pleasing book that offers valuable information as it relates to surgical and orthodontic approaches to impactions. We decided not to perform a root canal of the donor tooth due to the patients age and because the three current.
Autogenous tooth transplantation, tooth loss, autotransplantation introduction. Tooth autotransplantation allowed to completely restore the original functional and morphological condition of patient. Orthodontic treatment of impacted teeth, 3rd edition. Autotransplantation can provide a patient with all the benefits of natural tooth, and can be an important treatment option for tooth replacement especially in young individuals. The challenge in our treatment plan was in replacing the missing tooth in the. Extraalveolar storage media for tooth autotransplants and replants. Autotransplantation of odontomaassociated impacted teetha. Tooth autotransplantation is the technique of transplanting embedded, impacted or erupted teeth from one site into another in the same individual. Autotransplantation, complete root formation, success rate autogenous tooth transplantation refers to the repositioning of autogenous teeth in another tooth extraction site or a surgically formed recipient site to replace teeth that are, for example, missing congenitally or involve ectopic eruption, severe caries. Autotransplantation is the technique of transplanting embedded, impacted or erupted teeth from one site into another in the same individual. Dental autotransplantation or autogenous transplantation is defined as the movement of one tooth from one position to another, within the same person. Jul 10, 2014 this video is produced by yonghoon choi at seoul national university bundang hospital. Timely autotransplantation of the impacted mandibular tooth to the region of the congenitally missing right maxillary second premolar produced favorable results. Clinical pr actice contact author autotransplantation of an unerupted wisdom tooth germ without its follicle immediately after removal of an impacted mandibular second molar.
Dental auto transplantation is defined as the movement of one tooth or dental germ from one position to another, within the same person. Paulsen autotransplantation of teeth is an old method of tooth replacement, but it is receiving renewed interest, as treatment today is founded on evidence based, longterm research. Multiple tooth jaw bone 3d models for preoperative diagnosis were fabricated using a lowcost desktop 3d printer and surgical simulation of autotransplantation performed. Autotransplantation of mature impacted tooth to a fresh. Autotransplantation of impacted third molar kumar nilesh.
Clinical study on autotransplantation of teeth in patients aged over 60 years of age abe yuna 1,2, matsuzawa yusuke 1, tei kanchu 1 1 department of oral and maxillofacial surgery, division of oral pathobiological. Autogenous transplantation is a feasible, fast, and economical option for the treatment of nonsalvageable teeth when a suitable donor tooth is available. Therapy concept for surgical uprighting of the impacted second. Missing multiple anterior teeth presents a tremendous challenge for the dental team. Autotransplantation is a valuable alternative to extraction of impacted teeth, where surgical exposure and subsequent orthodontic realignment are difficult or impossible due to unfavorable. Impacted maxillary canines may present themselves in a wide threedimensional range of variations with a corresponding difference in treatment difficulty. Autotransplantation has an important role in the replacement of missing teeth of young patients due to the contraindication of osseointegrated implants for them.
The success rate of implant is also higher than that of transplant. Once thought to be experimental, autotransplantation has achieved high success rates and is an excellent option for tooth replacement. Autotransplantation and surgical uprighting of impacted or. Autotransplantation of teeth 2001 mitsuhiro tsukiboshi quintessence publishing co. Autotransplantation of teeth in 215 patients from the the orthodontic department in jonkoping, sweden, 2010. Autotransplantation of third molars as treatment in advanced. The autotransplantation was then performed accordingly. The outcome of autotransplantation is affected by factors such as good initial stability, minimal extraoral time, and status of periodontal tissue 1, 4. A panoramic radiograph revealed horizontally impacted teeth 47 and 48 fig.
Clinical concepts abuhussein muhamad, watted nezar, abdulgani mai, abdulgani azzaldeen abstract. It is often located in a palatal position and it is more frequently impacted. Autogenous tooth transplantation for replacing a lost tooth. Fixed orthodontic treatment, to correct the patients initial complaint.
748 1427 113 1426 708 154 1129 872 951 1425 188 933 1128 291 1358 1024 447 276 379 1275 141 1269 770 267 1449 315 450 120 1168 1310 640 120 613