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Replacing resorbed maxillary central incisors with mandibular premolars
1Institute of Dentistry, University of Oulu, Finland.
Endodontics & Dental Traumatology
|February 1, 1990
Summary
Autotransplantation successfully replaced a lost upper central incisor with a premolar transplant. The procedure demonstrated excellent adaptation, with subsequent inflammation managed effectively by apicectomy.
Area of Science:
- Dentistry
- Oral Surgery
- Transplantology
Background:
- External root resorption led to the loss of a traumatized upper central incisor.
- Autotransplantation emerged as a viable solution for replacing the missing tooth.
Observation:
- A premolar from a crowded mandibular arch was selected for transplantation.
- The premolar was transplanted into the upper central incisor socket.
Findings:
- The transplanted premolar exhibited excellent adaptation in its new position.
- Periapical inflammation occurred a few years post-transplantation.
- Apicectomy was performed to successfully treat the inflammation.
Implications:
- Autotransplantation is a feasible treatment option for tooth loss due to trauma and resorption.
- Apical surgery can effectively manage post-transplantation inflammatory complications.
- This case highlights successful long-term outcomes of dental autotransplantation.