Responses of periodontal tissues and cementum following transplantation of teeth

Abstract

Responses of periodontal tissues, particularly cementum, were assessed histologically in teeth which had been transplanted after root formation was moderately well advanced. When the epithelial root sheath persisted, it was associated with continued root formation. In instances where the sheath disintegrated prematurely, either as a consequence of the surgery or of functional factors such as occlusal forces, normal root formation did not proceed, but there was rapid and extensive production of cellular cementum apically and along the root of the tooth. A zone of imperfect cementum formation was frequently seen between the preoperative cementum and that which developed postoperatively. Dilaceration of the tip of the root, with subsequent envelopment in a bulbous mass of cementum, commonly resulted.