Abstract
This study was undertaken to evaluate the functional and occlusal stability of autogenous tooth transplantation. A total of 30 patients were included. Among them, 21 participants received transplanted first molar and the remaining 9 received transplanted second molar. In all the cases, donor tooth were third molar. In each participant, extraction of un-restorable first or second molar tooth was performed which was then replaced by atrumatic extracted third molar tooth. Each third molar tooth was placed in the recipient extracted socket, followed by the evaluation of the occlusion and then stabilized with arch bar and ligature wire. Clinical follow-up evaluation was performed at 15 days, 3 and 12 months in respect to occlusal stability, tooth mobility and periodontal status. It was found that 23 transplanted tooth were successful and the remaining 7 tooth need long-term observation for the final outcome, which was statistically significant. It can be concluded that the autogenous tooth transplantation can replace missing tooth to ensure the preservation of function, aesthetic and to prevent bone resorption of the missing area of the jaw, which can lead to exceptional esthetic and functional outcome.
Highlights
The autogenous tooth transplantation is the transfer of a tooth from one position to another in the same individual
Successful tooth transplantation depends upon the vitality of remaining periodontal ligament cells in the donor roots, the shape and the site of the recipient socket and the vascularity of the recipient bed.[2]
Tooth mobility was investigated according to the Millers classification,[8] and periodontal status was evaluated by Community Periodontal Index (CPI)
Summary
The autogenous tooth transplantation is the transfer of a tooth from one position to another in the same individual It was first well documented in 1954.1 The principle of this technique is still followed. This could involve the transfer of an impacted or ectopic positioned tooth into extracted site or surgically prepared socket. Autotransplantation has a low procedural cost compared to that of osseointegrated implants since it is performed in a single stage and no prosthesis is required.[4] careful case selection and treatment planning are essential requisites for successful autotransplantation and the recipient site must be healthy and of adequate size to receive the transplant. It is important to prepare the recipient site before the transplant is made available and transplantation completed with endodontic therapy.[5]
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