Transplantation of a lower bicuspid after traumatic loss of three upper incisors.
BACKGROUND
Prosthodontic and orthodontic procedures have been described for the treatment of patients with traumatic loss of teeth.


METHODS
Both upper central incisors and the upper right lateral incisor had to be extracted in an 8-year-old patient after failure of conservative procedures following a sports accident. The patient was treated on a temporary basis with a space retainer as a substitute for the teeth. Definitive therapy was carried out by transplanting a lower bicuspid germ into the upper arch with subsequent orthodontic gap closure.


RESULTS
8 years after the intervention, the transplanted tooth is still in place. The patient is fully rehabilitated both functionally and esthetically with no discomfort.


CONCLUSIONS
The transplantation of bicuspid germs in conjunction with orthodontic gap closure is a valuable alternative to prosthodontic treatment, particularly in the case of loss or aplasia of several teeth.
Kalwitzki
Matthias
M
Department of Orthodontics, University of Tübingen, Germany. matthias.kalwitzki@med.uni-tuebingen.de
Ney
Thomas
T
Göz
Gernot
G
D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D001641:Bicuspid / Q000000981:diagnostic imaging / Q000637:transplantation*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D019516:Orthodontic Space Closure; D011859:Radiography; D018677:Tooth Injuries / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D016388:Tooth Loss / Q000000981:diagnostic imaging / Q000534:rehabilitation*; D014091:Tooth Resorption / Q000000981:diagnostic imaging / Q000534:rehabilitation