[Autotransplantation of tooth germs]

Area of Science:

• Dentistry
• Orthodontics
• Oral Surgery

Background:

• Congenital or traumatic tooth agenesis presents a significant challenge in pediatric dentistry.
• Early loss of tooth buds necessitates timely and effective replacement strategies.
• Fixed prosthetic restorations are often not feasible in young patients due to ongoing growth.

Observation:

• A routine orthodontic examination revealed missing upper right canine and premolars in an 8-year-4-month-old female.
• Patient history indicated surgical removal of these tooth buds at age 6 following trauma.
• Mild crowding was noted in the lower incisors.

Findings:

• An autogeneic transplant of lower first premolars was performed to address the missing upper right teeth.
• This surgical procedure aimed to replace the absent canine and premolar teeth.
• The patient's age precluded immediate fixed prosthetic options, making transplantation a suitable alternative.

Implications:

• Autogeneic tooth transplantation offers a biological solution for replacing missing teeth in growing individuals.
• This technique can potentially reduce the need for conventional prosthetics and implants in pediatric cases.
• Successful transplantation may improve function, aesthetics, and long-term oral health outcomes.