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Navigation-guided autotransplantation: A novel technique for precise and predictable tooth placement.

Yang-Chih Chou1, Wen-Hui Chen1,2, Hui-Na Lee3,4

  • 1Division of Oral and Maxillofacial Surgery, Department of Dentistry, E-DA Hospital, I-Shou University, Kaohsiung, Taiwan.

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|January 26, 2026
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Summary

This study introduces a novel, standardized protocol for autotransplantation (AT) using dynamic navigation. This technique enhances precision in tooth restoration, improving success rates for complex dental procedures.

Keywords:
Autotransplantation (AT)Digital dentistryDynamic navigation technologyReal-time guidance

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Biomedical Engineering

Background:

  • Autotransplantation (AT) offers a viable solution for replacing missing or failed teeth.
  • Current AT success rates are inconsistent due to technique sensitivity and lack of standardized protocols.

Purpose of the Study:

  • To present the first documented autotransplantation protocol employing a dynamic navigation system.
  • To detail innovations in navigation-guided socket preparation, extra-alveolar retrograde filling, and digital stent fixation.

Main Methods:

  • A 55-year-old female patient with a fractured tooth (36) underwent dynamic navigation-guided AT using tooth 38.
  • Socket preparation was guided by the X-Guide® navigation system with a 2.5 mm round bur.
  • Retrograde filling was performed extra-alveorally, followed by fixation with a digital lingual stent and flowable resin.

Main Results:

  • Postoperative imaging confirmed ideal positioning of the transplanted tooth.
  • Favorable bone remodeling was observed around the transplanted tooth.
  • The novel protocol demonstrated successful application in a clinical setting.

Conclusions:

  • Dynamic navigation systems can standardize and improve the precision of autotransplantation.
  • The presented three-innovation protocol offers a reproducible method for successful tooth autotransplantation.
  • This approach holds promise for enhancing outcomes in restorative dentistry.