Llanos S, García H, Manresa C, Bonilla C, Tebres J, Requejo S, Baasch A

Language: Spanish
References: 11
Page: 80-86
PDF size: 322.18 Kb.

ABSTRACT

Introduction: the surgical movement of a tooth from one socket to another, in the same individual, is defined as an autotransplantation. Digital technology has led us to plan these cases to increase the success rate and decrease surgical time. Objective: the aim of the study was to evaluate the success rate of dental autotransplantation through digital planning, evaluating an autotransplanted tooth from a clinical and radiographical standpoint. Case report: a digital planning was presented for a female patient who met the inclusion criteria, using a CARP model and a drilling splint. The autotransplantation was made with 1.8 for the donor's tooth in a postextraction socket of the 3.7 tooth. After 2 weeks from the surgery, endodontic treatment was made. Follow-ups were made, during the first, the third, and the sixth month. Evaluating the appearance of the gum, depth of the periodontal socket, and dental mobility, in radiographic evaluations we observe the absence of periapical pathology, rizalysis, and ankylosis. Conclusion: the success rate is related to the preservation of the vital periodontal ligament of the donor's tooth, which will allow the bone healing, and formation of the periodontal ligament to avoid root resorption. Although this is a procedure that depends on the skill of the operator, by establishing a protocol with digital planning, the treatment is more predictable over time.

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