Catch the Timing: A Case Report of Tooth Germ Autotransplantation

Luigi Tagliatesta; Matteo Arcari; Laura Porcheddu; Rania Ibrahim; Giulia Rovelli; Marco Lorenzoni

doi:10.36437/ijdrd.2022.4.3.A

Luigi Tagliatesta DDS, Specialist in Oral Surgery, Department of Biomedical, Surgical and Dental Sciences, Head of Pediatric Oral Surgery Unit, Santi Paolo and Carlo Hospital, University of Milan, Italy.
Matteo Arcari Dentistry Student, Department of Biomedical, Surgical and Dental Sciences, Unit of Oral Surgery, Santi Paolo and Carlo Hospital, University of Milan, Italy.
Laura Porcheddu Dentistry Student, Department of Biomedical, Surgical and Dental Sciences, Santi Paolo and Carlo Hospital, University of Milan, Italy.
Rania Ibrahim Dentistry Student, Department of Biomedical, Surgical and Dental Sciences, Santi Paolo and Carlo Hospital, University of Milan, Italy.
Giulia Rovelli Dentistry Student, Department of Biomedical, Surgical and Dental Sciences, Santi Paolo and Carlo Hospital, University of Milan, Italy.
Marco Lorenzoni Dentistry Student, Department of Biomedical, Surgical and Dental Sciences, Unit of Oral Surgery, Santi Paolo and Carlo Hospital, University of Milan, Italy.

DOI: https://doi.org/10.36437/ijdrd.2022.4.3.A

Keywords: Autotransplantation, Oral Surgery, Pulp Vitality, Tooth Germ, Traumatology

Abstract

Tooth autotransplantation is a procedure that consists in the extraction of an erupted, partially erupted, or unerupted tooth and its repositioning into another point in the oral cavity of the same individual.

It can be considered a legitimate alternative to fill an edentulous space in younger subjects, due to agenesis, traumatic avulsion, root fractures, or big carious processes.

This Case Report describes a successful autotransplantation’s case of an open-apex mandibular third molar, in place of a hopeless first mandibular molar, in a growing patient.

After 36 months of follow-up the wisdom tooth showed physiological mobility, absence of infection and ankylosis, positive pulp vitality test, and the periodontal integration was fully formed. The radiographic examinations confirmed a remarkable radicular edification.

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