Successful autotransplantation of a mature mesiodens to replace a traumatized maxillary central incisor. (11th September 2014)

• Record Type: Journal Article
• Authors: Dharmani, U.; Rajput, A.; Kamal, C.; Talwar, S.; Verma, M.
• Is Part Of: International endontic journal. Volume 48:Number 6(2015:Jun.)
• Page Start: 619
• Page End: 626
• Publication Date: 2014-09-11
• Subjects: Endodontics -- Periodicals; 617.6342
• DOI: 10.1111/iej.12347
• Languages: English
• ISSNs: 0143-2885

Abstract

<abstract abstract-type="main" id="iej12347-abs-0001"> <title>Abstract</title> <sec id="iej12347-sec-0001" sec-type="section"> <title>Aim</title> <p>This case describes the successful transplantation of a mature mesiodens tooth to replace a traumatized maxillary central incisor.</p> </sec> <sec id="iej12347-sec-0002" sec-type="section"> <title>Summary</title> <p>A 17‐year‐old male attended 1 week after a traumatic injury to his left maxillary central incisor (tooth 21). Radiographs revealed a horizontal root fracture and a poor prognosis. The tooth was atraumatically removed and replaced with a mesiodens lying in the same region. After stabilization, root canal treatment was performed and aesthetics were restored with a tooth coloured restoration. A 2‐year follow‐up revealed the tooth had good aesthetics and function.</p> </sec> <sec id="iej12347-sec-0003" sec-type="opening"> <title>Key learning points</title> <p> <list id="iej12347-list-0001" list-type="bullet"> <list-item> <p>A supernumerary nonfunctional tooth such as a mesiodens can be successfully used to replace a missing permanent tooth by autotransplantation.</p> </list-item> <list-item> <p>Autotransplantation has a high success rate if case selection is good, appropriate surgery is carried out and excellent hygiene is maintained.</p> </list-item> <list-item> <p>Autotransplantation should be considered as one of the most biologic techniques for replacing a missing tooth with minimal cost.</p> </list-item> <list-item> <p>Autotransplantation can be carried out even after complete root formation in the donor tooth.</p> </list-item> </list> </p> </sec> </abstract>