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Published on: August 4, 2020
Transplantation of a lower bicuspid after traumatic loss of three upper incisors
Matthias Kalwitzki1, Thomas Ney, Gernot Göz
1Department of Orthodontics, University of Tübingen, Germany. matthias.kalwitzki@med.uni-tuebingen.de
Background:
Prosthodontic and orthodontic procedures have been described for the treatment of patients with traumatic loss of teeth.
Patient And 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.
