Successful Autotransplantation of an Immature Third Molar- A Case Report

Abstract

This case report describes the autotransplantation of a third molar with developing roots in a young female patient. Following transplantation into the socket of mandibular first molar, the tooth was stabilized with sutures and a custom made semi rigid splint. On recall examination one year after completion of the surgical technique, the transplant responded positively to electric pulp testing and showed absence of infection, ankylosis or progressive resorption. The transplantation of a third molar can be seen as a promising method to replace a lost permanent tooth. Clinical relevance :The permanent first molar is the most caries prone permanent tooth, probably because of its early exposure to the oral environment. Unrestorable teeth need to be extracted. Its extraction leads to unfavorable occlusal changes. Fixed prosthesis and implants are not feasible in growing patients because they may impede the normal growth of facial bones, in particular, of the alveolar process. This case report describes autotransplantation of third molar with incompletely formed roots as a viable treatment option when permanent first molar needs to be extracted. The use of semirigid splint has been demonstrated and follow up showed good prognosis.