Autotransplantation as a treatment option after loss of a maxillary permanent incisor tooth. A case report.
A case is described of the management of a maxillary left permanent incisor, damaged by several traumatic injuries, in a 13-year-old girl. The traumatized incisor tooth required extraction and as part of an orthodontic treatment plan, a mandibular left second premolar was surgically transplanted to the prepared extraction socket at the maxillary anterior alveolus. After splinting, the transplanted tooth underwent endodontic treatment, because of pulpal necrosis. Orthodontic treatment commenced 3 months post-transplantation. Permanent root obturation was provided after orthodontic treatment and a porcelain veneer was placed to restore aesthetic appearance. The case emphasizes the importance of correct case selection, a multidisciplinary approach to treatment planning, and regular follow-up for transplanted teeth.
Waterhouse
P J
PJ
Department of Child Dental Health, School of Dentistry, University of Newcastle, UK.
Hobson
R S
RS
Meechan
J G
JG
D000293:Adolescent; D001641:Bicuspid / Q000637:transplantation*; D005260:Female; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008311:Malocclusion, Angle Class I / Q000150:complications / Q000628:therapy; D009971:Orthodontics, Corrective / Q000379:methods; D014081:Tooth Extraction; D018677:Tooth Injuries / Q000150:complications / Q000601:surgery; D020390:Tooth Socket