Tooth autotransplantation in a patient with rapidly progressing periodontitis aided by 3D printing.

Autor: Shi HA; Department of Oral and Maxillofacial Surgery, National Dental Centre, Singapore adrian.shi.h.y@ndcs.com.sg., Siow SFD; Department of Restorative Dentistry, Periodontic Unit, National Dental Centre, Singapore., Phua ZYJ; Ko Djeng Dental Centre, Singapore.
Jazyk: angličtina
Zdroj: BMJ case reports [BMJ Case Rep] 2021 Aug 03; Vol. 14 (8). Date of Electronic Publication: 2021 Aug 03.
DOI: 10.1136/bcr-2021-243601
Abstrakt: Patients with rapidly progressing periodontitis may require extractions of teeth with poor periodontal prognosis. Although replacement with a dental implant is a popular choice, teeth autotransplantation remains a viable option. Herein, we report a case of a 23-year-old patient with rapidly progressing periodontitis resulting in severe clinical attachment loss on the left maxillary first molar, which required extraction. The tooth was replaced by tooth autotransplantation of the unerupted immature left mandibular third molar, which was delivered carefully without compromising the periodontal ligament. Cone beam computed tomography and three-dimensional printing of the third molar donor tooth significantly aided the tooth autotransplantation procedure. Recovery was uneventful. At the 1-year follow-up, healthy periodontal parameters and radiographic features were noted, and the autotransplanted tooth remained vital. This case showed that tooth autotransplantation is a viable option for replacing tooth loss due to rapidly progressing periodontitis.
Competing Interests: Competing interests: None declared.
(© BMJ Publishing Group Limited 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE