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Autotransplantation of Premolars and Esthetic Rehabilitation in a Traumatized Teenage Patient with Challenging Oral Problems: A Case Report

  • Journal of the Korean academy of pediatric dentistry
  • Abbr : J Korean Acad Pediatr Dent
  • 2020, 47(2), pp.213-218
  • DOI : 10.5933/JKAPD.2020.47.2.213
  • Publisher : The Korean Academy Of Pediatric Dentistry
  • Research Area : Medicine and Pharmacy > Dentistry
  • Received : November 27, 2019
  • Accepted : December 5, 2019
  • Published : May 29, 2020

Junhee Kho 1 Howon Park ORD ID 2 LEE JU HYUN ORD ID 2 Hyunwoo Seo ORD ID 2

1강릉원주대학교 치과대학 소아∙청소년치과학교실 및 구강과학연구소
2강릉원주대학교

Accredited

ABSTRACT

The loosely structured periodontal ligament and low mineralized bone surrounding erupting teeth provide minimal resistance to an extrusive force. The maxillary central incisors are the most frequently avulsed due to trauma. The prognosis of replanted teeth is affected by extra-alveolar period and conditions. Implant-supported restorations are contraindicated in adolescent patients with poor prognosis traumatized teeth. Autotransplantation of premolar to the anterior region provides a viable treatment alternative. This case report describes the autotransplantation of premolars and esthetic rehabilitation in a teenage patient with traumatized incisors, poor oral hygiene, and severe crowding. Comprehensive and long-term treatments were performed to improve complex and challenging oral problems.

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