Guided autotransplantation of an immature premolar to the maxillary incisor region with satisfactory esthetic outcome: A case report

Sans, Francesc Abella, Suresh, Nandini, Dummer, Paul M. H. ORCID: https://orcid.org/0000-0002-0726-7467, Garcia-Font, Marc, Gómez-Rojas, Adriana and Nagendrababu, Venkateshbabu 2024. Guided autotransplantation of an immature premolar to the maxillary incisor region with satisfactory esthetic outcome: A case report. Journal of Endodontics 50 (2) , pp. 252-257. 10.1016/j.joen.2023.11.010

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Abstract

This case report describes the treatment of two maxillary central incisors following a traumatic injury with tooth #8 developing replacement resorption and #9 developing inflammatory root resorption. A 10-year-old girl presented complaining of pain in her maxillary central incisors. Upon clinical examination, teeth #8 and #9 were tender to percussion and palpation of the buccal soft tissues. Thermal and electrical pulpal sensitivity tests for teeth #8 and #9 were negative. An intraoral periapical radiograph revealed resorptive defects in tooth #8, which were filled with bone-like tissue, while tooth #9 had radiolucent resorptive defects along the root surface and a periapical radiolucency. A diagnosis of replacement resorption was made for tooth #8 and external inflammatory root resorption for tooth #9. Tooth #8 was treated with a multidisciplinary approach utilizing a guided template for premolar autotransplantation with an immediate veneer restoration, while tooth #9 was managed with root canal treatment using a tricalcium silicate cement to fill the canal. At the 1, 4, 8, 12, and 24-month follow-ups, the patient remained asymptomatic, and there was no radiographic evidence of root or periapical pathosis on either tooth. The root-end of the donor tooth transplanted to the #8 site continued to develop. This case report highlights successful interdisciplinary management of two forms of root resorption using modern treatment strategies that provided immediate function and esthetics to the maxillary central incisors in a young patient following trauma.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Elsevier
ISSN:	0099-2399
Date of First Compliant Deposit:	20 December 2023
Date of Acceptance:	17 November 2023
Last Modified:	22 Nov 2024 02:45
URI:	https://orca.cardiff.ac.uk/id/eprint/164992

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