The Autotransplantation of tooth in orthodontic patients

Abstract

Autotransplantation of tooth is one of the alternative treatment to replace a missing tooth. The objective of this retrospective study was to determined the success rate and the factors involved in the success of an autotranaplantation of tooth with orthodontic treatment. The samples were obtained from patients who were treated at Siripen Memorial Clinic.  All patients were recieved at lease one autotranaplantation of tooth which performed by the same surgeon during their orthodontic treatments and having a complete clinical and radiographic records with a minimun of 1 year follow- up. The transplants were recorded as successful if the tooth had not been extracted and surviving with normal gingiva no root resorption or ankylosis no abnormal mobility and the ratio of crown and root length not less than 1.There were 27 patients ,9 were males(33.3%)  18were females. (66.7%) The mean age was 16 years, ranged from 9 to23 years. Total of 30 autotransplanted teeth were included ,24were open root apex(80%) , 6 were closed. (20%) The mean follow-up period was 6.8 years ranged from 1.5-30 years. The result showed 1transplanted tooth had been extracted (3.3%)and 2 having ankylosis (6.7%). The success rate was 90%.

Conclusion, autotransplantation of tooth in patient with orthodontic treatment had a high success rate if the patient  was selected and treated properly. It should be an alternative treatment  for missing tooth especially in the growing patient

.Keywords : autotransplantation,tooth,orthodontic