Autotransplantation of teeth with complete root formation: a case series

J Endod. 2010 Aug;36(8):1422-6. doi: 10.1016/j.joen.2010.04.028. Epub 2010 Jun 26.

Abstract

Introduction: Autotransplantation is a viable option for treating missing teeth when a donor tooth is available. This retrospective study reports the success rate for the autotransplantation of 19 molars with complete root formation.

Methods: The study enrolled 19 patients (11 men and 8 women) in whom 19 molars were transplanted. The mean age was 38.5 years (range, 19-67). The transplanted third molars were stabilized with a silk suture or wire splint for 2 to 3 weeks. Root canal treatment of the transplanted teeth was performed before surgery in six patients and 1 to 2 weeks after transplantation in 13 patients. Postoperatively, the marginal and periapical conditions were examined clinically and radiographically.

Results: In 16 of the 19 cases, the outcome met the success criteria, for an 84% success rate.

Conclusions: In autogenous tooth transplantation, even if the donor tooth has complete root formation, a high success rate can be achieved if the cases are selected and treated properly.

MeSH terms

  • Adult
  • Aged
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Molar / transplantation
  • Molar, Third / transplantation*
  • Odontogenesis / physiology
  • Retrospective Studies
  • Root Canal Therapy
  • Splints
  • Suture Techniques
  • Tooth Root / physiology
  • Tooth Socket / surgery
  • Transplantation, Autologous
  • Treatment Outcome
  • Wound Healing / physiology
  • Young Adult