Multiple congenitally missing teeth treated with autotransplantation and orthodontics

Area of Science:

• Pediatric Dentistry
• Orthodontics
• Oral Surgery

Background:

• Managing congenitally missing teeth in children presents unique challenges due to ongoing oral growth and development.
• Treatment options range from retaining deciduous teeth to extraction followed by space closure, prosthetics, implants, or autotransplantation.

Observation:

• This case report details the management of a pediatric patient with multiple congenitally missing teeth during the early mixed dentition phase.
• The patient's treatment involved autotransplantation of a maxillary first premolar to the mandibular first premolar region.

Findings:

• A combined approach of autotransplantation and orthodontic treatment was implemented.
• The treatment demonstrated successful integration and function of the transplanted tooth with a 5-year follow-up.

Implications:

• Autotransplantation, combined with orthodontics, presents a viable and effective treatment strategy for children with multiple congenitally missing teeth.
• This approach considers the patient's growth and development, offering a long-term solution for restoring occlusion and aesthetics.