Autotransplantation of molar teeth to replace an endodontically hopeless tooth and endodontic management: case series

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Ercan E., Güçlüer Ö., Kırıcı D., Er K.

IFEA 2024 World Endodontic Congress (IFEAWEC), Glasgow, İngiltere, 11 Eylül - 14 Kasım 2024, ss.3

  • Yayın Türü: Bildiri / Özet Bildiri
  • Basıldığı Şehir: Glasgow
  • Basıldığı Ülke: İngiltere
  • Sayfa Sayıları: ss.3
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Objective

The surgical transfer of an autogenous erupted or unerupted tooth from one place to another inside the same patient is known as autotransplantation (AT). It is recommended as an alternative treatment in cases of dental development abnormalities, severe caries, traumatized tooth loss, and poor prognosis. The most common procedure involves transferred a third molar to the position of a hopeless molar. When compared to dental implants or traditional prosthetics, this treatment can be a good substitute because it preserves periodontal ligament, is less expensive, and allows for 1-stage surgery. The following 4 cases describe the potential to utilize AT to replace hopeless teeth with sound third molars.

Case presentations

Case 1. A 16-years old male was visited to our clinic with the complaint of pain on left side of the mandibular molars. The tooth 47 was non-restorable and have a chronic apical periodontitis. After the clinical and radiological examinations, we decided to transfer tooth 48 to the position of the tooth 47. After extraction of the tooth 47, the tooth 48 was atraumatically extracted, placed in the recipient site, and splinted with a fiber splint. The result was satisfactory at 1-year follow-up and post-treatment periapical radiograph showed no external root resorption. About similar treatment procedures were applied for Case 2 (18-year-old male had 46 extracted and replaced with 48), Case 3 (18-year-old female had 36 extracted and replaced with 38), and Case 4 (16-year-old female had 36 extracted and replaced with 48).

Conclusion

In these cases, AT is suggested as a treatment option. AT requires a viable donor tooth, an appropriate recipient site, and healthy periodontal conditions. It is a viable option because of its functional flexibility, biocompatibility in the oral cavity, and maintenance of the alveolar ridge, and should be regarded as the first option if possible.