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Tooth autotransplantation using an interdisciplinary approach to rehabilitation in a young patient: Case report with 7‐year follow‐up
Author(s) -
Velozo Christianne,
Nogueira Luiz Ricardo,
Nogueira Filho Luiz Ricardo,
Capistrano Anderson,
Albuquerque Diana Santana
Publication year - 2021
Publication title -
dental traumatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.82
H-Index - 81
eISSN - 1600-9657
pISSN - 1600-4469
DOI - 10.1111/edt.12637
Subject(s) - autotransplantation , medicine , dentistry , tooth avulsion , avulsion , tooth replantation , resorption , root canal , rehabilitation , maxillary central incisor , pulp (tooth) , orthodontics , transplantation , incisor , root resorption , surgery , pathology , physical therapy
This case report demonstrates the possibility of functional and aesthetic rehabilitation using an interdisciplinary approach in a child following avulsion of a tooth. Autotransplantation after the development of calcific metamorphosis of the pulp and acute apical periodontitis provided satisfactory repair after root canal treatment. A 7‐year‐old white boy avulsed the right maxillary central incisor (tooth 11). The extra‐alveolar time exceeded 60 minutes, and this triggered external replacement resorption of the avulsed tooth. At 11 years of age, the child underwent tooth autotransplantation. After 4 years of follow‐up, intraoral clinical and radiographic examination led to the diagnosis of calcific metamorphosis of the pulp and acute apical periodontitis. The patient had minimally invasive root canal treatment, orthodontic treatment and esthetic rehabilitation with a porcelain crown. Control periapical radiography and tomography of the autotransplanted tooth after 7 years revealed bone repair in the periapical region. This case report indicates that tooth autotransplantation can be used to replace anterior teeth after avulsion followed by replacement resorption. Interdisciplinary management helped to maintain the esthetics and function of the rehabilitated area.