Dentoalveolar Complex Autotransplantation in Esthetic Zone Rehabilitation: A Case Report

Tooth autotransplantation is a biologically favorable option for the replacement of missing teeth and has demonstrated predictable outcomes with both immature and mature donor teeth. In challenging anterior maxillary defects, digitally assisted variations of the technique may expand treatment possibilities and offer an alternative to conventional bone augmentation in selected cases. This article presents a digital and clinical workflow for dentoalveolar complex (DAC) autotransplantation in anterior maxillary reconstruction. The reported case involves transplantation of a donor tooth together with its surrounding alveolar bone segment to compensate for a severe site deficiency. Virtual planning, guided osteotomy, and 3D-printed replicas were used to optimize donor tooth assessment, recipient site preparation, and extraoral handling efficiency. These digital tools facilitated accurate positioning of the DAC and improved procedural predictability. The case demonstrated uneventful healing, preservation of soft and hard tissue contours, and no clinical signs of ankylosis or significant replacement resorption during follow-up. This report suggests that digitally guided DAC autotransplantation may represent a viable treatment option for selected anterior defects where conventional approaches, including bone grafting or implant therapy, present biological or anatomical limitations.