Autotransplant of third molar with complete root formation and periodontal preservation

Abstract

Objective: This paper aims to report a clinical case of Autotransplant of Third Molar with Complete Root Formation and Periodontal Preservation. Case report: a 20-year-old afro-caucasian female attended for a consult presenting tooth pain as her main complaint. The patient wished to proceed with the extraction of her left lower second molar which presented with extensive carious lesion and great coronary destruction. Two treatment options were suggested: endodontic treatment of the left second mandibular tooth with posterior confection of a fixed prosthetic crown or the performance of an autotransplant. The patient chose the autotransplantation treatment. A thorough and careful surgical planning is crucial to the success of an autotransplant procedure. The anatomy and dimensions of the donor tooth were investigated to conform in the receptor socket. The revascularization of the pulp might be related to the stage of the development of the transplanted tooth; however, this case report shows a successful transplant even with complete radicular formation. Conclusion: The transplanted tooth displayed healthy clinical conditions and is responsive to electrical pulp stimulation after a 3-year follow-up.