Treatment of an avulsed maxillary permanent central incisor replaced by autotransplantation of a mandibular premolar: 14-year follow-up

Abstract

Aim: To present the 14 year follow-up of a case in which an avulsed permanent maxillary central incisor was replaced by autotransplantation of a mandibular premolar.

Summary: A mandibular premolar (Moorrees' stage 3) was transplanted into the space left by an avulsed permanent maxillary central incisor after a delay of 3 months. Recall examination 14 years after transplantation revealed a normal periodontal architecture with absence of infection, ankylosis or progressive resorption. The transplantation of a premolar is seen as a promising method to replace a lost permanent tooth and to restore aesthetics and function.

Key learning points: * Autotransplantation is a viable option for the treatment of a missing tooth or for replacement of avulsed and traumatized tooth when a donor tooth is available. * Autotransplantation is a therapeutic option for the substitution of missing anterior teeth in young patients who also need orthodontic treatment.