Autotransplantation of a maxillary third molar to replace a maxillary premolar with vertical root fracture.
OBJECTIVE
To report the successful autotransplantation of a fully developed third molar that required nonsurgical and surgical interventions for tooth adaptation.


CONCLUSIONS
This case report describes the autotransplantation of a third molar with complete root development after the loss of a fractured premolar in a 47-year-old male. To allow better adaptation of the donor tooth, the buccal roots of the third molar were removed using a diamond bur and the canal entrances were filled. Recall examination 6 years after completion of root-canal treatment showed normal periodontal healing with absence of infection, ankylosis or progressive resorption. The transplantation of a third molar is seen as a promising method to replace a lost permanent tooth, and to restore aesthetics and function.


CONCLUSIONS
*Autotransplantation is a viable option for the treatment of a missing tooth or for replacement of traumatized tooth when there is a donor tooth available. *Fully developed third molars are potentially reliable candidates in the absence of other suitable donor teeth.
Tsurumachi
T
T
Department of Endodontics, Division of Advanced Dental Treatment, Nihon University School of Dentistry, Tokyo, Japan. tsurumachi@dent.nihon-u.ac.jp
Kakehashi
Y
Y
D001641:Bicuspid / Q000293:injuries*; D006801:Humans; D008297:Male; D008437:Maxilla; D008875:Middle Aged; D008964:Molar, Third / Q000637:transplantation*; D010516:Periodontal Splints; D012390:Root Canal Therapy; D014081:Tooth Extraction; D014082:Tooth Fractures / Q000601:surgery*; D014092:Tooth Root / Q000293:injuries / Q000601:surgery