Traumatic dental injury can result in avulsion of anterior teeth. In young patients, it is a challenge to the dental professional because after replantation, late complications such as ankylosis require tooth extraction. Although prosthetic and orthodontic treatment, and implant placement have been described as the options for intervention, autogenous tooth transplantation could be an effective procedure in growing patients if there is a suitable donor tooth available. This case presents the treatment of a patient who suffered a traumatic injury at 9 years old with avulsion of tooth 21, which had been replanted, and intrusion of tooth 11. Both teeth ankylosed; thus they were removed and autotransplantation of premolars was carried out. After transplantation, the tooth underwent root canal treatment because of pulpal necrosis. Orthodontic treatment began 3 months after transplantation and during 7 years' follow-up the aesthetics and function were maintained without signs of resorption.

Citations

Citations to this article as recorded by  

• Traitement orthodontique des dents permanentes traumatisées
  Chantal Naulin-Ifi, Hélène Desnoes, H. Desnoes
  Revue d'Orthopédie Dento-Faciale.2023; 57(2): 143.     CrossRef
• Treatment of an Avulsed and Ankylosed Incisor through Single Tooth Alveolar Osteotomy and Conventional Orthodontic Mechanisms
  Georgios Vasoglou, Chrysi Christina Markomanolaki, Michail Vasoglou, Andreas Markomanolakis
  Children.2022; 9(5): 732.     CrossRef
• A conservative approach for an adult patient with a fractured tooth and crowding: Autotransplantation at the fracture site
  Chang-Hyen Kim, Byungju Joh, Hee Jin Lim, Jae Hyun Park, Yoon-Ah Kook, Yoonji Kim
  American Journal of Orthodontics and Dentofacial Orthopedics.2021; 159(2): 234.     CrossRef
• Influencing Factors in Autotransplantation of Teeth with Open Apex: A Review of the Literature
  María P. Pecci Lloret, Elena Pina Martínez, Francisco J. Rodríguez Lozano, Miguel R. Pecci Lloret, Julia Guerrero Gironés, Francesco Riccitiello, Gianrico Spagnuolo
  Applied Sciences.2021; 11(9): 4037.     CrossRef
• Central incisor ankylosis - A review article
  Simona Dianišková, Ivana Moňoková
  Stomatológ.2019; 29(1): 40.     CrossRef
• Prognostic Factors for Clinical Outcomes in Autotransplantation of Teeth with Complete Root Formation: Survival Analysis for up to 12 Years
  Youngjune Jang, Yoon Jeong Choi, Seung-Jong Lee, Byoung-Duck Roh, Sang Hyuk Park, Euiseong Kim
  Journal of Endodontics.2016; 42(2): 198.     CrossRef