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Digital workflow-guided autotransplantation of developing teeth after resection of an odontoma: a case report
Ning Leng1, Rui Hou1, Yujiao Wang1
1State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi Clinical Research Center for Oral Diseases, Department of Oral & Maxillofacial Surgery, School of Stomatology, The Fourth Military Medical University, Xi'an, 710032, PR China.
Abstract:
An 11-year-old girl presented with a painless right maxillary mass, retained primary teeth and impacted premolars. Radiographic examination confirmed a complex odontoma. One-stage surgery was performed under general anesthesia, including odontoma enucleation, primary tooth extraction, and digital-guided autotransplantation of the impacted premolars. Preoperative 3D reconstruction, virtual simulation and 3D-printed PLA models ensured precise surgical planning. At 3-month follow-up, the transplanted teeth were stable with progressive apical closure and positive pulp vitality. No postoperative complications occurred. This digital workflow enables synchronous lesion removal and tooth replacement, representing a promising strategy for adolescent odontoma management.
