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Successful auto-transplantation of a mandibular third molar: A case report on restoring esthetics and function in a
Mohsen Aminsobhani1, Maryam Babaahmadi2
1Department of Endodontics, Dental Research Center AJA and Tehran University of Medical Sciences Tehran Iran.
Key Clinical Message:
This article describes a successful case of auto-transplantation of a mandibular third molar to replace a non-restorable second molar, highlighting the efficacy of this procedure in restoring function with factors like asepsis, surgical technique, and postoperative care contributing to the success.
Abstract:
This case report describes successful auto-transplantation of a mandibular third molar to replace a non-restorable second molar in a 66-year-old patient. The procedure involved atraumatic extraction, repositioning, and stabilization of the donor tooth, followed by postoperative care and 1-year follow-up. The favorable outcome highlights the potential of mature third molar transplantation as an effective approach for replacement of missing or non-restorable permanent molar teeth to restore esthetics and function. The success of the procedure was attributed to factors such as asepsis, atraumatic surgical technique, preservation of the periodontal ligament (PDL) vitality, minimal extraoral time, optimal occlusion, and adequate fixation. At the 1-year follow-up, the patient was asymptomatic with stable occlusion, highlighting the optimal efficacy of the procedure.

