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Tooth autotransplantation (part 2): A case series

Quentin Legendre1, Carle Favre de Thierrens2, Sarah Gebeile-Chauty3,4

  • 1Pratique privée, 17 rue Bouquière, 33000 Bordeaux, France

L' Orthodontie Francaise
|May 15, 2025
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Summary

Tooth autotransplantation, a successful yet underutilized dental procedure, involves replacing missing teeth with ones from elsewhere in the mouth. This case series highlights its application, particularly for third molars, in various clinical scenarios.

Keywords:
Cone-beam computed tomographyImmature toothPrinted tooth replicaThird molarTooth transplantationOrthodonticsAutotransplantation3D printing

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Periodontology

Background:

  • Tooth autotransplantation is an established dental procedure with a high success rate.
  • Despite its efficacy, the technique remains underutilized in clinical practice.

Purpose of the Study:

  • To present a series of clinical cases demonstrating tooth autotransplantation.
  • To highlight the versatility and indications for this procedure, particularly involving third molars.

Main Methods:

  • A retrospective review of 12 clinical cases treated by a single oral surgeon.
  • Inclusion criteria required a minimum follow-up period of one year.
  • Cases involved patients aged 13–34 years, with a focus on immature teeth and third molar replacements.

Main Results:

  • Seven cases had follow-up exceeding one year, with some up to 3.5 years.
  • The primary indication was replacing decayed teeth with third molars.
  • Other indications included failed orthodontic traction and ankylosis; one case resulted in tooth loss due to surgical complications.

Conclusions:

  • Tooth autotransplantation is a viable option for various indications, including caries and orthodontic treatment failures.
  • Careful assessment of third molar extraction versus autotransplantation is warranted.
  • While not routine, autotransplantation offers a valuable alternative in specific clinical situations.