Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report
The outcome of tooth autotransplantation depends mainly on the transplant tooth’s anatomy—the type of donor tooth and the developmental stage of root formation. Mature teeth display a higher complication rate due to lower pulp revascularization potential, requiring root canal treatment (RCT) pre- or...
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| Format: | Article |
| Language: | English |
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Wiley
2025-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/crid/5545344 |
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| author | Juraj Marton Michal Mozoľa Radovan Žižka Zdeněk Pokorný |
| author_facet | Juraj Marton Michal Mozoľa Radovan Žižka Zdeněk Pokorný |
| author_sort | Juraj Marton |
| collection | DOAJ |
| description | The outcome of tooth autotransplantation depends mainly on the transplant tooth’s anatomy—the type of donor tooth and the developmental stage of root formation. Mature teeth display a higher complication rate due to lower pulp revascularization potential, requiring root canal treatment (RCT) pre- or postoperatively to avoid postoperative complications, which extends treatment duration and cost. This report details a 39-year-old patient’s autotransplantation of a mature wisdom tooth to replace the first molar after unsuccessful root canal retreatment. During the surgery, an extraoral root resection of the transplanted tooth was performed prior to placement to avoid the need to elevate the Schneiderian membrane, which displayed imperfect healing following the surgical removal of a cystic lesion in the maxillary sinus. RCT was not performed before nor after the procedure. At the 3-year follow-up, the tooth was asymptomatic. The vitality of the autotransplanted tooth was difficult to determine using standard vitality tests, which depend on patients’ subjective responses, but the use of pulse oximetry objectively confirmed this. This case not only shows the possibility of a mature tooth transplant revascularization in an older patient but also gives a possible postoperative protocol of how to objectively confirm and measure the revascularization of the autotransplanted tooth. |
| format | Article |
| id | doaj-art-0c9d9ae8aabe4cbe9f5ef944759ae84a |
| institution | Kabale University |
| issn | 2090-6455 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-0c9d9ae8aabe4cbe9f5ef944759ae84a2025-01-25T05:00:02ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/5545344Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case ReportJuraj Marton0Michal Mozoľa1Radovan Žižka2Zdeněk Pokorný3Institute of Dentistry and Oral SciencesDepartment of Oral and Maxillofacial SurgeryInstitute of Dentistry and Oral SciencesInstitute of Dentistry and Oral SciencesThe outcome of tooth autotransplantation depends mainly on the transplant tooth’s anatomy—the type of donor tooth and the developmental stage of root formation. Mature teeth display a higher complication rate due to lower pulp revascularization potential, requiring root canal treatment (RCT) pre- or postoperatively to avoid postoperative complications, which extends treatment duration and cost. This report details a 39-year-old patient’s autotransplantation of a mature wisdom tooth to replace the first molar after unsuccessful root canal retreatment. During the surgery, an extraoral root resection of the transplanted tooth was performed prior to placement to avoid the need to elevate the Schneiderian membrane, which displayed imperfect healing following the surgical removal of a cystic lesion in the maxillary sinus. RCT was not performed before nor after the procedure. At the 3-year follow-up, the tooth was asymptomatic. The vitality of the autotransplanted tooth was difficult to determine using standard vitality tests, which depend on patients’ subjective responses, but the use of pulse oximetry objectively confirmed this. This case not only shows the possibility of a mature tooth transplant revascularization in an older patient but also gives a possible postoperative protocol of how to objectively confirm and measure the revascularization of the autotransplanted tooth.http://dx.doi.org/10.1155/crid/5545344 |
| spellingShingle | Juraj Marton Michal Mozoľa Radovan Žižka Zdeněk Pokorný Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report Case Reports in Dentistry |
| title | Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report |
| title_full | Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report |
| title_fullStr | Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report |
| title_full_unstemmed | Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report |
| title_short | Revascularization of an Autotransplanted Mature Tooth After Extraoral Root Resection: A Case Report |
| title_sort | revascularization of an autotransplanted mature tooth after extraoral root resection a case report |
| url | http://dx.doi.org/10.1155/crid/5545344 |
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