The Autotransplantation and Orthodontic Treatment of Multiple Congenitally Missing and Impacted Teeth

Congenitally missing teeth are one of the most common dental anomalies. When permanent teeth are absent, various problems can occur. It is important to consider the facial profile, position of the incisor teeth, skeletal and dental development, and available dental space before planning treatment. Possible treatment methods include preserving and retaining the deciduous tooth, replacing the missing tooth with prosthesis, placing an implant, or performing a transplant after extracting the deciduous tooth. Among these possibilities, autotransplantation combined with orthodontic treatment corrects both function and esthetics. This report describes the case of a 7-year-old girl with multiple congenitally missing teeth and an impacted right mandibular second premolar. Timely autotransplantation of the impacted mandibular tooth to the region of the congenitally missing right maxillary second premolar produced favorable results.