Prosthetic rehabilitation of adolescent patients after tooth autotransplantation
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Katedra Protetyki Stomatologicznej, Warszawski Uniwersytet Medyczny Department of Prosthetic Dentistry, Medical University of Warsaw
Acceptance date: 2021-11-27
Publication date: 2021-12-15
Prosthodontics 2021;71(4):365–372
Autogenous tooth transplantation is one of the methods of multidisciplinary treatment used in growing patients with congenital absence of tooth germs or traumatic loss of teeth. Many years of clinical trials have shown that tooth autotransplantation procedures can stimulate bone formation ensuring proper growth of the alveolar process in the recipient site. The most common donors are premolars with incomplete root development. Treatment is carried out by an orthodontic and surgical team. In the case of adolescent patients who underwent autogenous tooth transplantation and orthodontic and surgical treatment was completed, it is necessary to perform aesthetic reconstruction of the transplanted tooth clinical crown with the use of veneers. Another method is the correction and individualization of the shape of the donor’s clinical crown to the insertion site, at the stage of aligning the teeth with a fixed appliance, taking into account the axis of the transplanted tooth and the shape and width of the homonymous tooth in the arch.