Abstract
Introduction
Tooth replacement often leads to insufficient vertical volume in the recipient socket
bone. The aim of this novel report is to present a successful fully guided autotransplantation
of a maxillary right third molar (tooth #1) with its attached buccal plate. The procedure
was combined with a palatal connective tissue graft to reconstruct a buccal hard and
soft tissue defect of an irreparable maxillary right first molar (tooth #3).
Methods
A 45-year-old man complaining of pain in tooth #3 came to the clinic. Tooth #3 was
non-restorable due to an extensive caries and a vertical root fracture of the mesiobuccal
root, leading to a total loss of the buccal cortical plate. Guided autotransplantation
of tooth #1 was completed by using 3-dimensional surgical templates for implant burs
and a 3-dimensional-printed replica. After positioning the donor tooth, the cortical
plate was fixed to the recipient socket with osteosynthesis screws. A connective tissue
graft was also harvested to increase the band of keratinized gingiva and the thickness
of the buccal soft tissue. At 6-month follow-up, the screws were removed, showing
excellent regeneration throughout the buccal area.
Results
At 3-year follow-up, the transplanted tooth was asymptomatic, with a natural bone
level and no signs of replacement or inflammatory root resorption.
Conclusions
The use of a donor tooth and its attached bone cortical plate combined simultaneously
with a connective tissue graft appears to improve hard and soft tissues in a single
procedure.
Key Words
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Article info
Publication history
Published online: January 06, 2023
Footnotes
Data Availability Statement: Data sharing not applicable to this article as no datasets were generated or analyzed during the current study.
Identification
Copyright
© 2023 American Association of Endodontists.
