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Updated: Aug 5, 2026
Measuring Maxillary Posterior Tooth Movement: A Model Assessment using Palatal and Dental Superimposition
Published on: February 23, 2024
Orthodontic Space Management and Mandibular First Premolar Autotransplantation Following Traumatic Anterior Tooth
Viviana-Elena Tesinschi1, Pawel Plakwicz2, Arina Vinereanu3
1Orthodontics and Periodontology Service, Department of Orthodontics and Dentofacial Orthopaedics, Institut de Recherche Expérimentale et Clinique (IREC), University Clinic Saint-Luc, Catholic University of Louvain (UCL), 1200 Woluwé Saint-Lambert, Belgium.
Background/Objectives:
The management of severe anterior dental trauma in growing patients remains a clinical challenge. This case report describes the treatment of a 10-year-old boy presenting with traumatic loss of maxillary anterior teeth following a road traffic accident, including avulsion of two permanent incisors and a primary canine, associated with luxation and intrusion of the contralateral central incisor.
Methods:
A multidisciplinary approach involving paediatric dentistry, orthodontics, oral surgery, and restorative dentistry was implemented. Treatment aimed to preserve the traumatised incisor and restore the anterior maxillary region through a biological approach combining mandibular first premolar autotransplantation and orthodontic space management.
Results:
The transplanted first mandibular premolar demonstrated favourable healing, with continued root development and a satisfactory crown-to-root ratio. After orthodontic treatment, the tooth was restored with a composite veneer, achieving good aesthetic and functional outcomes, maintained at the 5-year follow-up.
Conclusions:
This case highlights that autotransplantation combined with orthodontic space management may represent a viable treatment option in carefully selected growing patients, allowing preservation of alveolar bone, function, and aesthetics. Appropriate surgical, orthodontic, and restorative planning was crucial to the treatment's success.
