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BMJ Case Rep ; 14(8)2021 Aug 03.
Artigo em Inglês | MEDLINE | ID: mdl-34344652

RESUMO

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.


Assuntos
Periodontite , Dente , Adulto , Humanos , Dente Molar/diagnóstico por imagem , Dente Molar/cirurgia , Dente Serotino/diagnóstico por imagem , Dente Serotino/cirurgia , Periodontite/complicações , Periodontite/diagnóstico por imagem , Periodontite/cirurgia , Impressão Tridimensional , Transplante Autólogo , Adulto Jovem
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