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CC BY 4.0 · Eur J Dent 2024; 18(02): 692-699
DOI: 10.1055/s-0043-1777048
Case Report

Multidisciplinary Treatment: Follow-Up of Dental Autotransplantation for 10 Years

Elisa Souza Camargo 
1   Graduate Program in Dentistry – Orthodontics, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
Rhafaela Ribeiro Silva
2   Graduate Program in Dentistry – Restorative Dentistry, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
Ádelin Olívia Lopes Joly Rodrigues
3   Graduate Program in Dentistry – Colletive Health, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazi
,
Patricia Kern Di Scala Andreis
1   Graduate Program in Dentistry – Orthodontics, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
José Vinicius Bolognesi Maciel 
4   Undergraduate Program in Dentistry - Stomatology Department, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
,
Sônia Mara Luczyszyn
5   Undergraduate Program in Dentistry - Periodontology, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
Evelise Machado de Souza 
2   Graduate Program in Dentistry – Restorative Dentistry, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
Everdan Carneiro
6   Graduate Program in Dentistry – Endodontics, School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
Nathália Juliana Vanzela
7   Undergraduate Program in Dentistry – School of Medicine and Life Sciences, Pontifícia Universidade Católica do Paraná, Curitiba, Paraná, Brazil
,
João Luiz Carlini
8   Undergraduate Program in Dentistry - Maxillofacial Surgery, Health Sciences Department, Universidade Federal do Paraná, Curitiba, Paraná, Brazil
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Abstract

The objective is to present a clinical case of dental autotransplantation managed with surgery, orthodontics, endodontics, periodontics, and aesthetic rehabilitation. A 10-year-old boy sought treatment after avulsion of the maxillary left central incisor, which was not reimplanted. Based on anamnesis, clinical examination, and complementary examinations, agenesis of the maxillary and mandibular second premolars except the mandibular right second premolar was observed. After a multidisciplinary planning, the space in the maxillary left central incisor region was opened to receive the transplanted mandibular right second premolar. The receptor site was created in a single surgical procedure. Pulp necrosis was noted in the transplanted tooth, which was treated endodontically, and the agenesis spaces were closed using fixed orthodontic appliances. After removing the appliance, gingivectomy with osteotomy was performed in the maxillary right central incisor and the transplanted tooth regions to harmonize the height and shape of the gingival contour. Next, aesthetic readjustment was performed with tooth whitening, using office and home techniques, followed by microabrasion of the vestibular surface of the maxillary right central incisor. Direct composite resin restorations were placed in the maxillary incisors, and the teeth were rehabilitated using incisal and palatal guides. A multidisciplinary approach is essential for reestablishing the function and aesthetics of complex cases involving dental autotransplantation.

Keywords

autotransplant - tooth avulsion - multidisciplinary care team


Publication History

Article published online:
23 January 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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