Dental Auto-transplantation to Premolar Mandibullary Sites: Case report

Abstract

ABSTRACT This study aims to present the success rate, advantages, and factors influencing the success, along with potential complications associated with autotransplantation to the mandibular premolar region. Autotransplantation involves the extraction of a suitable impacted, semi-erupted, or erupted tooth from an individual, followed by surgical transplantation into areas of tooth loss within the same individual. This procedure is particularly significant in addressing tooth loss, especially among young patients, with its success dependent on the careful selection of appropriate cases. Indications for autotransplantation include premature tooth loss resulting from various causes such as irreparable teeth, periodontal diseases, root fractures, dental agenesis, early tooth loss due to trauma, and impacted or ectopic teeth. The primary criteria for evaluating the success of autotransplantation involve normal periapical healing and sustained root development, without inflammatory pulpal changes or root resorption. The tooth designated for autotransplantation underwent initial treatment with a root canal, followed by complete filling with MTA to prevent root resorption. Subsequently, it was positioned and secured in the designated transplant area. The patient was called for periodic check-ups after the treatment was completed. Despite its limited practical applications, autotransplantation serves as a valid alternative to implant and prosthetic treatments due to its cost-effectiveness, relative simplicity, and ability to provide satisfactory aesthetics and functional results. Additionally, it preserves the quality and quantity of alveolar bone. In this study a 5-year follow-up of the patient revealed no criteria indicating failure in the transplanted tooth. Keywords: Autotransplantation, ectopic teeth, root resorption

Keywords

• Autotransplantation
• ectopic teeth
• root resorption

Premolar Alt Çene Bölgelerine Dişin Oto-transplantasyonu: Vaka raporu

Öz

ÖZ Bu çalışma mandibular premolar bölgeye ototransplantasyonun başarı oranını, avantajlarını ve başarıyı etkileyen faktörleri ve bununla birlikte olası komplikasyonları sunmayı amaçlamaktadır. Ototransplantasyon, bir kişiden uygun bir gömülü, yarı sürmüş veya sürmüş dişin çekilmesini ve ardından aynı kişinin diş kaybı olan bölgelerine cerrahi olarak transplantasyonu içerir. Bu prosedürün başarısı uygun vakaların dikkatli seçimine bağlı olduğundan, özellikle genç hastalarda diş kaybının giderilmesinde önemlidir. Ototransplantasyon endikasyonları; tedavi edilemeyen dişler, periodontal hastalıklar, kök kırıkları, diş agenezisi, travmaya bağlı erken diş kayıpları, gömülü veya ektopik dişler gibi çeşitli nedenlerden kaynaklanan erken diş kayıplarıdır. Ototransplantasyonun başarısını değerlendirmenin birincil kriterleri, inflamatuar pulpal değişiklikler veya kök rezorpsiyonu olmaksızın normal periapikal iyileşmeyi ve sürekli kök gelişimini içerir. Bu vakada ototransplantasyon yapılacak dişe kök kanal tedavinin ardından kökün rezorpsiyonunu önlemek için kanal tamamen MTA ile dolduruldu. Daha sonra belirlenen alana transplante edilip sabitlendirildi. Tedavi tamamlandıktan sonra hasta periyodik kontrollere çağrıldı. Ototransplantasyon sınırlı pratik uygulamalarına rağmen maliyet etkinliği, göreceli basitliği ve tatmin edici estetik ve fonksiyonel sonuçlar sağlaması nedeniyle implant ve protetik tedavilere geçerli bir alternatif olarak sunulmaktadır. Ayrıca alveol kemiğinin kalitesini ve miktarını korur. Bu çalışmada hastanın 5 yıllık takibinde, nakledilen dişte başarısızlığa işaret eden herhangi bir kritere rastlanmadı. Anahtar Sözcükler: ektopik dişler, kök rezorpsiyonu, ototransplantasyon

Anahtar Kelimeler

• ektopik dişler
• kök rezorpsiyonu
• ototransplantasyon

Kaynakça

1. 1. Demir T, Ates U, Cehreli B, Cehreli ZC. Autotransplantation of a supernumerary incisor as a replacement for fused tooth: 24-month follow-up. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008;106:E1-6.
2. 2. Herrera H, Herrera H, Leonardo MR, da Silva LAB. Treatment of external inflammatory root resorption after autogenous tooth transplantation: case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006;102:E51-4.
3. 3. Mendes RA, Rocha G. Mandibular third molar autotransplantation - literature review with clinical cases. J Can Dent Assoc. 2004;70:761-6.
4. 4. Thomas S, Turner S, Sandy J. Autotransplantation of teeth: is there a role? Br J Orthodont. 1998;25:275-82.
5. 5. Teixeira C, Pasternak Jr B, Vansan L, Sousa‐Neto M. Autogenous transplantation of teeth with complete root formation: two case reports. Int Endod J. 2006;39:977-85.
6. 6. Natiella JR, Armitage JE, Greene GW. The replantation and transplantation of teeth: a review. Oral Surg Oral Med Oral Pathol. 1970;29:397-419.
7. 7. Reich PP. Autogenous transplantation of maxillary and mandibular molars. J Oral Maxillofac Surg. 2008;66:2314-7.
8. 8. ML H. Autogenous transplants. Oral Surg Oral Med Oral Pathol. 1956;9:76-83.

9. 9. Akkocaoglu M, Kasaboglu O. Success rate of autotransplanted teeth without stabilisation by splints: a long-term clinical and radiological follow-up. Br J Oral Maxillofac Surg. 2005;43:31-5.
10. 10. Kallu R, Vinckier F, Politis C, Mwalili S, Willems G. Tooth transplantations: a descriptive retrospective study. Int J Oral Maxillofac Surg. 2005;34:745-55.
11. 11. Khongkhunthian P, Chantaramungkorn M, Waranyuwat S. The treatment of an avulsed maxillary central incisor by transplantation of an embedded mandibular premolar. Dent Traumatol. 2002;18:335-8.
12. 12. Zachrisson BU, Stenvik A, Haanæs HR. Management of missing maxillary anterior teeth with emphasis on autotransplantation. Am J Orthodont Dentofac Orthoped. 2004;126:284-8.
13. 13. Siers M, Willemsen W, Gulabivala K. Monitoring pulp vitality after transplantation of teeth with mature roots: a case report. Int Endod J. 2002;35:289-94.
14. 14. Tsubura S, Ikeda Y. The effect of a tooth gingival transplantation on periodontal healing. Dent Traumatol. 2003;19:209-13.
15. 15. Nethander G. Autogenous free tooth transplantation by the two-stage operation technique: An analysis of treatment factors. Acta Odontol Scand. 1998;56:110-5.
16. 16. Cohen AS, Shen T, Pogrel MA. Transplanting teeth successfully: autografts and allografts that work. J Am Dent Assoc. 1995;126:481-5.
17. 17. Tanaka T, Deguchi T, Kageyama T, Kanomi R, Inoue M, Foong KW. Autotransplantation of 28 premolar donor teeth in 24 orthodontic patients. Angle Orthodont. 2008;78:12-9.
18. 18. Fujita K, Kanno Z, Otsubo K, Soma K. Autotransplantation combined with orthodontic treatment in adult patients. Orthodontic Waves. 2008;67:128-34.
19. 19. Slagsvold O, Bjercke B. Autotransplantation of premolars with partly formed roots: a radiographic study of root growth. Am J Orthodont. 1974;66:355-66.
20. 20. Schwartz O, Bergmann P, KLAUSEN B. Resorption of autotransplanted human teeth: a retrospective study of 291 transplantations over a period of 25 years. Int Endod J. 1985;18:119-31.
21. 21. Kim E, Jung J-Y, Cha I-H, Kum K-Y, Lee S-J. Evaluation of the prognosis and causes of failure in 182 cases of autogenous tooth transplantation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100:112-9.
22. 22. Frenken J, Baart J, Jovanovic A. Autotransplantation of premolars: a retrospective study. Int J Oral Maxillofac Surg. 1998;27:181-5.
23. 23. Lundberg T, Isaksson S. A clinical follow-up study of 278 autotransplanted teeth. Br J Oral Maxillofac Surg. 1996;34:181-5.
24. 24. Gault PC, Warocquier‐Clerout R. Tooth auto‐transplantation with double periodontal ligament stimulation to replace periodontally compromised teeth. J Periodontol. 2002;73:575-83.
25. 25. Bauss O, Schilke R, Fenske C, Engelke W, Kiliaridis S. Autotransplantation of immature third molars: influence of different splinting methods and fixation periods. Dent Traumatol. 2002;18:322-8.
26. 26. Kristerson L. Autotransplantation of human premolars: a clinical and radiographic study of 100 teeth. Int J Oral Surg. 1985;14:200-13.
27. 27. Andreasen J, Paulsen H, Yu Z, Ahlquist R, Bayer T, Schwartz O. A long-term study of 370 autotransplanted premolars. Part I. Surgical procedures and standardized techniques for monitoring healing. Eur J Orthodont. 1990;12:3-13.
28. 28. Czochrowska EM, Stenvik A, Album B, Zachrisson BU. Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors. Am J Orthodont Dentofac Orthoped. 2000;118:592-600. 29. Marcusson K, Lilja-Karlander E. Autotransplantation of premolars and molars in patients with tooth aplasia. J Dent. 1996;24:355-8.
29. 30. Schatz J-P, Joho J-P. Long-term clinical and radiologic evaluation of autotransplanted teeth. Int Journal Oral Maxillofac Surg. 1992;21:271-5.
30. 31. Altonen M, Haavikko K, Malmström M. Evaluation of autotransplantations of completely developed maxillary canines. Int J Oral Surg. 1978;7:434-41.
31. 32. Sagne S, Thilander B. Transalveolar transplantation of maxillary canines. A follow-up study. Eur J Orthodont. 1990;12:140-7.
32. 33. Waikakul A, Kasetsuwan J, Punwutikorn J. Response of autotransplanted teeth to electric pulp testing. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002;94:249-55.
33. 34. Chamberlin JH, Goerig AC. Rationale for treatment and management of avulsed teeth. J Am Dent Assoc. 1980;101:471-5.
34. 35. Kugelberg R, Tegsjö U, Malmgren O. Autotransplantation of 45 teeth to the upper incisor region in adolescents. Swedish Dent J. 1994;18:165-72.
35. 36. Kristerson L, Lagerström L. Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors. Eur J Orthodont. 1991;13:486-92.
36. 37. Mejàre B, Wannfors K, Jansson L. A prospective study on transplantation of third molars with complete root formation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004;97:231-8.
37. 38. Tronstad L. Root resorption - etiology, terminology and clinical manifestations. Dent Traumatol. 1988;4:241-52.
38. 39. Maru V, Dixit UB. Constituents, properties and clinical applications of OrthoMTA & RetroMTA: a systematic review. Indian J Dent Res. 2021;32:514-23.