Dental Autotransplantation: The Natural Alternative to Dental Implants

Most traumatic dental injuries occur in the preteen males, with the maxillary central incisor being the most commonly avulsed tooth.1,2 When an incisor is lost, its ability to induce growth of the surrounding alveolar bone and gingival tissues is also lost. Therefore, in the maxillary anterior region of a young and growing patient, it is advantageous to replace a missing tooth with a natural tooth that can continue the process of bone induction as the patient continues growing through their teen years. There are currently two techniques to achieve this: 1) Orthodontic substitution 2) Auto transplantation. The methodology and necessary considerations pertaining to autotransplantation are the subject of this publication, and pertinent literature suggests that: a) Ideal donor teeth should be single-rooted, such as a mandibular premolar. b) Donor teeth should be ideally harvested when there is 2/3 to ¾ root development. c) Surgical technique to avoid damaging the periodontal ligament of the donor tooth is absolutely critical. d) Newly autotransplanted teeth should be stabilized for 6-12 weeks with a light orthodontic wire allowing physiologic movement. If the aforementioned protocols are followed, then a success rate of 90% or more can be expected.

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Conservative management of long-standing traumatised maxillary central incisor with incomplete apex and severe internal resorption using triple antibiotic paste, mineral trioxide aggregate and fiber-reinforced composite

BMJ Case Reports ◽

10.1136/bcr-2021-244818 ◽

2021 ◽

Vol 14 (10) ◽

pp. e244818

Author(s):

Vivek Mehta ◽

Anupma Raheja ◽

Rajeev Kumar Singh

Keyword(s):

Root Formation ◽

Mineral Trioxide Aggregate ◽

Permanent Teeth ◽

Central Incisor ◽

Successful Management ◽

Maxillary Central Incisor ◽

Reinforced Composite ◽

Triple Antibiotic Paste ◽

Traumatic Dental Injuries ◽

Dental Injuries

Traumatic dental injuries result in damage to many dental and periradicular structures. They can be conservatively managed depending on the extent of the injury. Maxillary central incisors are most commonly involved in traumatic dental injuries mainly because of their anterior and protrusive positioning. The treatment of immature permanent teeth with severe internal resorption poses a lot of challenges to the clinician. The objective of the present article is to report successful management of traumatised maxillary central incisor with incomplete root formation and severe internal resorption in a 10-year-old boy using triple antibiotic paste, mineral trioxide aggregate and fibre-reinforced composite.

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Aesthetic implant: A new era of aesthetic dentistry

Bangabandhu Sheikh Mujib Medical University Journal ◽

10.3329/bsmmuj.v9i3.29649 ◽

2016 ◽

Vol 9 (3) ◽

pp. 160

Author(s):

Md. Mujibur Rahman Howlader ◽

Tahmina Tamanna ◽

Md. Abdul Hannan Sheikh ◽

Rozina Akter ◽

Tohfa-A- Zannat ◽

...

Keyword(s):

Preoperative Planning ◽

Treatment Options ◽

Central Incisor ◽

Aesthetic Outcome ◽

New Era ◽

Maxillary Central Incisor ◽

Aesthetic Dentistry ◽

High Level ◽

Natural Tooth ◽

Missing Tooth

<p>The dental implant is used to replace the natural tooth system. It requires comprehensive preoperative planning and precise surgical execution. In this case report, a 45 year old male presented with missing upper left maxillary central incisor which was extracted 5 months back. He had discomfort during function and unwillingness to smile. He wanted to replace that edentulous area. The treatment options for replacing the missing tooth were discussed with the patient. Finally, with patient's consent the decision was made to replace that edentulous area with an implant supported porcelain fused to metal prosthesis in an esthetic manner. Recall visits exhibited patient's high-level confidence of smile with optimum satisfaction and successful aesthetic outcome.</p><p> </p>

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The Use of a Natural Tooth Crown Following Traumatic Injuries in Primary Dentition

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.33.4.7358273625861217 ◽

2009 ◽

Vol 33 (4) ◽

pp. 275-278

Author(s):

Patricia Nivoloni Tannure ◽

Ana Carolina Valinoti ◽

Lucianne Cople Maia

Keyword(s):

Preschool Children ◽

Oral Hygiene ◽

Primary Teeth ◽

Alveolar Bone ◽

Speech Development ◽

Tooth Crown ◽

Traumatic Injuries ◽

Traumatic Dental Injuries ◽

Dental Injuries ◽

Natural Tooth

Preschool children are frequently affected by traumatic dental injuries, most of them during the first three years of life. Due to the resiliency of the alveolar bone surrounding the primary teeth, most of these injuries fit into tooth luxations category. In this paper, two different cases of early loss of primary incisors resulting from luxations are described. Removable esthetic space maintainers were placed using the natural crown of the traumatized teeth and the children were evaluated over a 12 month period. The treatment given could be considered an excellent rehabilitation option since it restores the esthetics and masticatory function,allows speech development, benefits oral hygiene and prevents the establishment of tongue habits and malocclusions.

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Prevalence of Traumatic Dental Injuries in Patients Attending University of Alberta Emergency Clinic

The Open Dentistry Journal ◽

10.2174/1874210601610010315 ◽

2016 ◽

Vol 10 (1) ◽

pp. 315-321 ◽

Cited By ~ 3

Author(s):

Thamer Alkhadra ◽

William Preshing ◽

Tarek El-Bialy

Keyword(s):

Alveolar Bone ◽

Dental Trauma ◽

Class Iii ◽

Root Fracture ◽

University Of Alberta ◽

Number Of Patients ◽

Dentoalveolar Trauma ◽

Traumatic Dental Injuries ◽

The University ◽

Dental Injuries

Objectives:This study evaluated the prevalence of dental trauma for patients attending the emergency dental clinic at the University of Alberta Hospital between 2006-2009. Patients’ examination and treatment charts were reviewed.Methods:Total number of patients’ charts was 1893.The prevalence of different types of trauma was 6.4 % of the total cases (117 patients). Trauma cases were identified according to Ellis classification and as modified by Hollandet al.,1988.Results:Logistic statistical model showed that 21.7% were Ellis class I trauma, 16.7% were Ellis class II trauma, and 6.7% were Ellis class III. In addition, 11.7 % presented with avulsion, 7.5 % presented with dentoalveolar fracture and 7.5% presented with sublaxation. Also, 17.55 % presented with tooth displacement within the alveolar bone, 3.3 % presented with crown fracture with no pulp involvement, 4.16 % presented with crown fracture with pulp involvement and 3.3 % presented with root fracture. In conclusion, the general prevalence of dentoalveolar trauma in patients attending the emergency clinic at the University of Alberta is less than other reported percentages in Canada or other countries.

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Intrusive Dental Injuries in Children: Manifestations and Management

Journal of Postgraduate Medicine Education and Research ◽

10.5005/jp-journals-10028-1102 ◽

2014 ◽

Vol 48 (2) ◽

pp. 53-62

Author(s):

Sarabjot Kaur Bhatia

Keyword(s):

Young Adults ◽

Periodontal Ligament ◽

Systematic Approach ◽

Alveolar Bone ◽

Dental Trauma ◽

Children And Young Adults ◽

Traumatic Dental Injuries ◽

Mandibular Teeth ◽

Dental Injuries ◽

Supporting Structures

ABSTRACT Traumatic dental injuries occur frequently in children and young adults. Orofacial trauma that results in fractured, displaced or lost teeth can have signifi cant negative functional, esthetic and psychological effect on child. Intrusive luxation of teeth results in axial impacts on maxillary and mandibular teeth and is considered one of the most severe types of dental trauma because of the risk for damage to the periodontal ligament, pulp and alveolar bone. To correctly diagnose the injury, effi ciently determine the extent of injury to teeth and periodontium and supporting structures and to have a favorable outcome after management requires a systematic approach. How to cite this article Gauba K, Goyal A, Bhatia SK. Intrusive Dental Injuries in Children: Manifestations and Management. J Postgrad Med Edu Res 2014;48(2):53-62.

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Permanent maxillary central incisor and first molar rotations in the mixed dentition in repaired complete unilateral cleft lip and palate and their relationship with absence of teeth in their vicinity

The Angle Orthodontist ◽

10.2319/121117-856.1 ◽

2018 ◽

Vol 88 (5) ◽

pp. 567-574

Author(s):

Sunjay Suri ◽

Suteeta Disthaporn ◽

Bruce Ross ◽

Bryan Tompson ◽

Diogenes Baena ◽

...

Keyword(s):

Bone Grafting ◽

Cleft Lip ◽

Cleft Lip And Palate ◽

Alveolar Bone ◽

Permanent Tooth ◽

Mixed Dentition ◽

Central Incisor ◽

Maxillary Central Incisor ◽

Anterior Teeth ◽

Alveolar Bone Grafting

ABSTRACT Objectives: To describe qualitatively and quantitatively the directions and magnitudes of rotations of permanent maxillary central incisors and first molars in the mixed dentition in repaired complete unilateral cleft lip and palate (UCLP) and study their associations with absence of teeth in their vicinity. Materials and Methods: Dental casts and orthodontic records taken prior to orthodontic preparation for alveolar bone grafting of 74 children with repaired UCLP (53 male, 21 female; aged 8.9 ± 1.0 years) were studied. Directions and magnitudes of permanent maxillary central incisor and first molar rotations were recorded. Tooth absence was confirmed from longitudinal radiographic records. Incisor and molar rotations were analyzed in relation to the absence of teeth in their vicinity. Results: Distolabial rotation of the permanent maxillary central incisor was noted in 77.14% on the cleft side, while distopalatal rotation was noted in 82.19% on the noncleft side. Incisor rotation was greater when a permanent tooth was present distal to the cleft side central incisor, in the greater segment. The permanent maxillary first molar showed mesiopalatal rotation, which was greater on the cleft side and when there was absence of one or more teeth in the buccal segment. Conclusions: Presence and absence of teeth were associated with the severity of incisor and molar rotations in UCLP. Crowding of anterior teeth in the greater segment was associated with a greater magnitude of rotation of the cleft side permanent central incisor. Absence of one or more buccal segment teeth was associated with greater magnitude of rotation of the molar.

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Healing of root resorption: a case report

Journal of Clinical Pediatric Dentistry ◽

10.17796/jcpd.27.3.5n213546817741x7 ◽

2003 ◽

Vol 27 (3) ◽

pp. 235-238 ◽

Cited By ~ 1

Author(s):

Sham Bhat ◽

S. Sharan ◽

Imneet Madan

Keyword(s):

Case Report ◽

Root Resorption ◽

Central Incisor ◽

Large Area ◽

Maxillary Central Incisor ◽

External Root Resorption ◽

Periodontal Membrane ◽

Dental Injuries

External resorption is sequelae of necrotic periodontal membrane over a large area of root following an injury to the tooth. This usually occurs after severe dental injuries such as intrusion, severe luxations or exarticulation injuries complicated by a prolonged extra oral period. This case report presents a clinical and radiographic follow up (13 months) of treatment of inflammatory external root resorption on maxillary central incisor using Vitapex®. Gradual healing of resorption was observed radiographically with no tenderness or pathological mobility.

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Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach

World Journal of Dentistry ◽

10.5005/jp-journals-10015-1400 ◽

2016 ◽

Vol 7 (4) ◽

pp. 217-220 ◽

Cited By ~ 1

Author(s):

Girish S Nanjannawar ◽

Rupal B Gadodia ◽

Sharad B Kamat ◽

Rutuja Chopade

Keyword(s):

Alveolar Bone ◽

Anatomical Variation ◽

Longitudinal Axis ◽

Common Finding ◽

Conservative Approach ◽

Central Incisor ◽

Successful Management ◽

Functional Rehabilitation ◽

Maxillary Central Incisor ◽

Molar Region

ABSTRACT Tooth rotation is a dental anomaly of position, in which there is a displacement of the tooth within the alveolar bone around its longitudinal axis. Although it is a common finding in the premolar—molar region, rotations of the maxillary centrals are extremely rare and such aberrations are multifactorial in their origin. It is important to have a thorough understanding of such anatomical variation, which can cause occlusal and esthetic problems in patients, to alert the dental surgeons, so that they are well prepared to carry out esthetic and functional rehabilitation of the teeth involved. A successful management of 180° rotated maxillary left central incisor by conservative approach is described here. How to cite this article Nanjannawar GS, Gadodia RB, Kamat SB, Chopade R. Esthetic Correction of Rotated Maxillary Central Incisor by Conservative Approach. World J Dent 2016;7(4):217-220.

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