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      Autotransplantation

      case-report

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          Abstract

          Autogenous tooth transplantation refers to the repositioning of autogenous teeth in another tooth extraction site or a surgically formed recipient site to replace missing teeth due to congenital deformity, grossly decayed carious teeth, mobile teeth due to periodontal disease, teeth lost due to trauma, endodontic failure or any other reason when a suitable donor tooth is available. This is a case report of autotransplantation of impacted #38 with complete root formation into the extraction site of grossly decayed, unrestorable #37 with 18 months follow-up showing excellent periapical healing and tooth stability. In autogenous tooth transplantation, even if the donor's tooth has complete root formation, a high success rate can be achieved if the cases are selected and treated properly. Chances of root resorption are there because of necrotic pulp and periodontal irritation during manipulation. However, autogenous tooth transplantation should always be considered as a good treatment modality in feasible cases.

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          Autotransplantation of teeth: requirements for predictable success.

          Mitsuhiro Tsukiboshi (2002)
          The aim of this article is to summarize the biologic principles required for successful autotransplantation of teeth. Indications, armamentarium, technique and prognosis will be discussed.
          Article 0 comments Cited 60 times – based on 0 reviews     Review now
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            Effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation of mature permanent incisors in monkeys.

            J.O. Andreasen (1981)
            The effect of extra-alveolar period and storage media upon periodontal and pulpal healing after replantation was studied in green Vervet monkeys (Cercopithecus aethiops). Mandibular lateral incisors were extracted. The extra-alveolar period before replantation was 0, 18, 30, 60, 90, and 120 min. The storage media for the extracted teeth were tap water, physiologic saline, saliva or dry storage. The animals were sacrificed 8 weeks after replantation and the replanted teeth were examined histometrically. The following histologic parameters were registered for each tooth: surface resorption, inflammatory resorption, replacement resorption (ankylosis), periapical inflammatory changes, the extent of vital pulp and downgrowth of pocket epithelium. A significant relationship was found between the frequency of root resorption, extra-alveolar period and storage medium. This was especially evident after dry storage. Surface resorption was found with approximately the same frequency irrespective of extra-alveolar period and storage media. Inflammatory root resorption was especially common after dry storage and was related to the length of the extra-alveolar period. Already after 30 min dry storage, this resorption type was very prominent. Teeth stored in tap water, saline or saliva showed about the same frequency of inflammatory resorption, which increased slightly with increased extra-alveolar periods. Replacement resorption showed a strong relationship to dry storage and became very prominent after 60 min. Replacement resorption was rarely found among teeth stored in saline or saliva; whereas it was significantly increased among teeth stored in tap water. It is concluded that saline and saliva offer good protection against root resorption during the extra-alveolar period.
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              Developments in autotransplantation of teeth.

              Richard Welbury, Laura Cross, Robert McKerlie … (2013)
              Transplantation of teeth has been done for hundreds of years. In the late 18th and early 19th century transplants of teeth between individuals were relatively common at specialist dental practices in London. Surprisingly tooth allotransplants have been found to last 6 years on average. In Scandinavia during the 1950 and 1960's autotransplantation of teeth began to be carried out under increasingly controlled conditions. These have proved to be very successful in long term studies with autotransplants surviving up to 45 years post-surgery. Recent developments in cone beam CT and rapid 3D prototyping have enabled the fabrication of accurate surgical templates which can be used to prepare the recipient site immediately prior to transplantation. This has resulted in a drastically reduced extra-oral time for the transplant teeth which can be expected to improve success rates further. Autotransplants provide significant advantages compared to single tooth implants and should be considered the treatment of choice in the growing child.
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                Author and article information

                Journal
                Journal ID (nlm-ta): J Conserv Dent
                Journal ID (iso-abbrev): J Conserv Dent
                Journal ID (publisher-id): JCD
                Title: Journal of Conservative Dentistry : JCD
                Publisher: Medknow Publications & Media Pvt Ltd (India )
                ISSN (Print): 0972-0707
                ISSN (Electronic): 0974-5203
                Publication date (Print): Nov-Dec 2015
                Volume: 18
                Issue: 6
                Pages: 500-503
                Affiliations
                [1]Department of Conservative Dentistry and Endodontics, Himachal Dental College, Sunder Nagar, Himachal Pradesh, India
                [1 ]Department of Oral and Maxillofacial Surgery, Himachal Dental College, Sunder Nagar, Himachal Pradesh, India
                Author notes
                Address for correspondence: Dr. Munish Goel, Department of Conservative Dentistry and Endodontics, Himachal Dental College, Sunder Nagar, Himachal Pradesh, India. E-mail: goelmuni2012@ 123456gmail.com
                Article
                Publisher ID: JCD-18-500
                DOI: 10.4103/0972-0707.168827
                PMC ID: 4693328
                PubMed ID: 26752848
                SO-VID: 46ec2b4b-4b6a-4e24-bbde-7443dd966715
                Copyright © Copyright: © 2015 Journal of Conservative Dentistry
                License:

                This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

                History
                Date received : 14 June 2015
                Date revision received : 30 August 2015
                Date accepted : 21 September 2015
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Dentistry
                Keywords: autotransplantation,missing teeth,root resorption
                Data availability:
                ScienceOpen disciplines: Dentistry
                Keywords: autotransplantation, missing teeth, root resorption

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