Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report
Tooth autotransplantation is a procedure in which a donor tooth is transplanted within the same patient’s jaw to replace a missing tooth. Donor tooth root morphology and periodontal ligament integrity are key factors influencing success. We report a semi-immediate autotransplantation of a maxillary...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2025-01-01
|
| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/crid/6655016 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849426850225324032 |
|---|---|
| author | Juraj Marton Radovan Žižka Rami Dabdoub Zdeněk Pokorný |
| author_facet | Juraj Marton Radovan Žižka Rami Dabdoub Zdeněk Pokorný |
| author_sort | Juraj Marton |
| collection | DOAJ |
| description | Tooth autotransplantation is a procedure in which a donor tooth is transplanted within the same patient’s jaw to replace a missing tooth. Donor tooth root morphology and periodontal ligament integrity are key factors influencing success. We report a semi-immediate autotransplantation of a maxillary third molar with a 90° divergent root into a site previously affected by a periapical abscess. After the extraction of the compromised tooth (#15) and removal of the interradicular septum, the site was left to heal to allow soft tissue closure and infection resolution. During this period, CBCT imaging and a 3D-printed donor tooth replica (CARP model) were used to plan the procedure, including the intended root amputation. Two weeks later, autotransplantation was performed. The recipient site only required soft tissue and granulation tissue management, with no additional bone preparation, allowing for a minimally traumatic approach. The donor tooth was transplanted with an extraoral time of under 6 min. At the 18-month follow-up, the tooth remained functional, asymptomatic, and radiographically stable. This case highlights the feasibility of delayed autotransplantation following infection and the clinical value of combining imaging with prototyping in surgical planning—particularly when dealing with donor teeth with unfavorable root anatomy. |
| format | Article |
| id | doaj-art-72bbe9eb670f4858a63b4cf2c05956ac |
| 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-72bbe9eb670f4858a63b4cf2c05956ac2025-08-20T03:29:14ZengWileyCase Reports in Dentistry2090-64552025-01-01202510.1155/crid/6655016Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case ReportJuraj Marton0Radovan Žižka1Rami Dabdoub2Zdeněk Pokorný3Institute of Dentistry and Oral SciencesInstitute of Dentistry and Oral SciencesInstitute of Dentistry and Oral SciencesInstitute of Dentistry and Oral SciencesTooth autotransplantation is a procedure in which a donor tooth is transplanted within the same patient’s jaw to replace a missing tooth. Donor tooth root morphology and periodontal ligament integrity are key factors influencing success. We report a semi-immediate autotransplantation of a maxillary third molar with a 90° divergent root into a site previously affected by a periapical abscess. After the extraction of the compromised tooth (#15) and removal of the interradicular septum, the site was left to heal to allow soft tissue closure and infection resolution. During this period, CBCT imaging and a 3D-printed donor tooth replica (CARP model) were used to plan the procedure, including the intended root amputation. Two weeks later, autotransplantation was performed. The recipient site only required soft tissue and granulation tissue management, with no additional bone preparation, allowing for a minimally traumatic approach. The donor tooth was transplanted with an extraoral time of under 6 min. At the 18-month follow-up, the tooth remained functional, asymptomatic, and radiographically stable. This case highlights the feasibility of delayed autotransplantation following infection and the clinical value of combining imaging with prototyping in surgical planning—particularly when dealing with donor teeth with unfavorable root anatomy.http://dx.doi.org/10.1155/crid/6655016 |
| spellingShingle | Juraj Marton Radovan Žižka Rami Dabdoub Zdeněk Pokorný Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report Case Reports in Dentistry |
| title | Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report |
| title_full | Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report |
| title_fullStr | Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report |
| title_full_unstemmed | Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report |
| title_short | Semi-Immediate Autotransplantation of a Maxillary Third Molar With Unfavorable Root Anatomy: A Case Report |
| title_sort | semi immediate autotransplantation of a maxillary third molar with unfavorable root anatomy a case report |
| url | http://dx.doi.org/10.1155/crid/6655016 |
| work_keys_str_mv | AT jurajmarton semiimmediateautotransplantationofamaxillarythirdmolarwithunfavorablerootanatomyacasereport AT radovanzizka semiimmediateautotransplantationofamaxillarythirdmolarwithunfavorablerootanatomyacasereport AT ramidabdoub semiimmediateautotransplantationofamaxillarythirdmolarwithunfavorablerootanatomyacasereport AT zdenekpokorny semiimmediateautotransplantationofamaxillarythirdmolarwithunfavorablerootanatomyacasereport |