Autotransplantation of mesiodens for missing maxillary lateral incisor with cone-beam CT-fabricated model and orthodontics

Y. Lee, S. W. Chang, H. Perinpanayagam, Y. J. Yoo, S. M. Lim, S. R. Oh, Y. Gu, S. J. Ahn, K. Y. Kum

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Abstract

Aim: Autotransplantation is a viable treatment option for a missing tooth when there is a suitable donor, especially in adolescents with remaining facial growth. This report presents the aesthetic restoration of a missing maxillary lateral incisor through orthodontic treatment and autotransplantation of a mesiodens using a CBCT-fabricated rapid-prototyping model. Summary: A 14-year-old male patient with a congenitally missing maxillary lateral incisor was referred from the Department of Orthodontics. The teeth were moved orthodontically to regain space for the missing lateral incisor and to close the space of the mesiodens after transplantation. A replica of the donor tooth was fabricated from a cone-beam computed tomography scan through a rapid-prototyping machine before autotransplantation surgery. The model was used to create a socket for the graft tooth, thereby shortening the extra-oral time and minimizing the damage to the root surface. After transplantation and orthodontic tooth movement, the mesiodens was finally restored with an aesthetic laminate restoration. Over 3 years, the aesthetics remained excellent, and the transplant functioned normally without any signs or symptoms of root resorption.

Original languageEnglish
Pages (from-to)896-904
Number of pages9
JournalInternational Endodontic Journal
Volume47
Issue number9
DOIs
Publication statusPublished - 2014 Sep

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All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

Lee, Y., Chang, S. W., Perinpanayagam, H., Yoo, Y. J., Lim, S. M., Oh, S. R., Gu, Y., Ahn, S. J., & Kum, K. Y. (2014). Autotransplantation of mesiodens for missing maxillary lateral incisor with cone-beam CT-fabricated model and orthodontics. International Endodontic Journal, 47(9), 896-904. https://doi.org/10.1111/iej.12223