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0AEDIATRIC$ENTISTRY

,UCY"URBRIDGE
"EN/)#OLE 2OSS3(OBSONAND2ICHARD27ELBURY

!UTO TRANSPLANTATIONINTHE
2ESTORATIVE-ANAGEMENTOF
4RAUMATIZED!NTERIOR4EETH!#ASE
2EPORT
!BSTRACT!UTO TRANSPLANTATIONCANBEUSEDTOREPLACEMISSINGANTERIORTEETHFOLLOWINGTRAUMATICINJURIES4HISTECHNIQUEHASTHEADVANTAGE
OVEROTHERFORMSOFTREATMENT OFMAINTAININGALVEOLARBONEHEIGHTWHICHALLOWSORTHODONTICANDFURTHERRESTORATIVEINTERVENTIONBYWAY
OFIMPLANTSLATERINLIFE#AREFULRESTORATIVEMANAGEMENTOFTRANSPLANTEDTEETHISVITALTOTHEIRLONG TERMSURVIVALASINADEQUATEMAINTENANCE
POSTTRANSPLANTMAYRESULTINROOTRESORPTIONANDEVENTUALTOOTHLOSS4HISPAPERDESCRIBESTHERESTORATIVEMANAGEMENTOFTWOCASES
FOLLOWINGTRANSPLANTATION
#LINICAL2ELEVANCE$ENTALPRACTITIONERSSHOULDBEAWAREOFTHEOPTIONTOAUTO TRANSPLANTTEETHASPARTOFANOVERALLTREATMENTPLANAND
THESUBSEQUENTINTERVENTIONSOFTENREQUIRED
$ENT5PDATE 
$ENTALTRAUMAINCHILDRENANDADOLESCENTS
ISCOMMON WITHUPTOOFBOYSAND
OFGIRLSTRAUMATIZINGTHEIRPERMANENT
INCISORSBYTHEAGEOFYEARSAND

,UCY"URBRIDGE "$3 -&$32#3%D


3PECIALIST2EGISTRARIN0AEDIATRIC$ENTISTRY
%DINBURGH$ENTAL)NSTITUTE ,AURISTON
0LACE %DINBURGH%((! "EN/)#OLE
"$3 -3C &$32#3%D -0AED$ENT
2#3%NG &0AED$ENT2#3%D #ONSULTANT
IN0AEDIATRIC$ENTISTRY 2OSS3(OBSON
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,ECTURER(ON#ONSULTANTIN/RTHODONTICS
$EPARTMENTOF#HILD$ENTAL(EALTH
$ENTAL3CHOOLAND(OSPITAL 2ICHARDSON
2OAD .EWCASTLEUPON4YNE .%!:AND
2ICHARD27ELBURY "$3 0H$ -""3 &$3
2#3%NG &$32#03'LASG 0ROFESSOR
(ON#ONSULTANTIN0AEDIATRIC$ENTISTRY
$EPARTMENTOF#HILD$ENTAL(EALTH
'LASGOW$ENTAL3CHOOL 3AUCHIEHALL
3TREET 'LASGOW'*:
.OVEMBER

APPROXIMATELYHALFOFALLADOLESCENTS
SUFFERINGONEEPISODEOFDENTO ALVEOLAR
TRAUMABEFORELEAVINGSCHOOL)THAS
BEENSUGGESTEDTHATTRAUMATICINJURIESTO
THETEETHMAYSURPASSDENTALCARIESAND
PERIODONTALDISEASEINTHEFUTURE7HILE
THEMAJORITYOFTRAUMATIZEDTEETHREMAIN
FUNCTIONAL ASIGNIFICANTNUMBERARELOST
ATTHETIMEOFTHEINJURYORASARESULTOF
SUBSEQUENTCOMPLICATIONS2ESTORATION
OFTHEMISSINGUNITTRADITIONALLYINVOLVES
SPACEMAINTENANCEWITHPROVISION
OFAPARTIALDENTUREORBRIDGEWORK
!LTERNATIVELY SPACECLOSURECANBE
ACHIEVEDORTHODONTICALLYWITHORWITHOUT
CROWNRECONTOURINGTOIMPROVEANTERIOR
AESTHETICS!UTO TRANSPLANTATIONISA
CLINICALTECHNIQUETHATMAYBEAUSEFUL
ALTERNATIVETOTHEMORECOMMONLYUSED
CLINICALSOLUTIONS4HISTECHNIQUEINVOLVES
THEMOVEMENTOFTEETHFROMONESITE
TOANOTHERWITHINTHESAMEINDIVIDUAL
#OMMONLYERUPTEDORIMPACTEDTEETH
OFGOODPROGNOSISARETRANSPLANTEDINTO
THEEXTRACTIONSOCKETSOFTEETHWITHPOOR
PROGNOSISORSURGICALLYPREPAREDSITES!

MULTI DISCIPLINARYMANAGEMENTAPPROACH
ISRECOMMENDEDINAUTO TRANSPLANTATION
ANDUSUALLYINVOLVESAPAEDIATRIC
DENTIST ORALSURGEON ORTHODONTISTANDA
RESTORATIVESPECIALIST!UTO TRANSPLANTATION
HASGAINEDINCREASINGPOPULARITYIN
THELASTYEARSANDMORESPECIALIST
CENTRESARENOWUSINGTHETECHNIQUEn
3UCCESSFULTRANSPLANTATIONDEPENDSUPON
THESPECIFICREQUIREMENTSOFTHEPATIENT
RECIPIENTTOOTHANDDONORSITESAND
SURGICALEXPERTISEOFTHEOPERATOR
!DENTALIMPLANTPLACED
FOLLOWINGTHECOMPLETIONOFBONEGROWTH
WILLPROVIDETHEBESTFORMOFRESTORATION
INTHEMANAGEMENTOFANTERIORTEETHLOST
ASARESULTOFTRAUMA$ENTALIMPLANTS
ARENOTROUTINELYPLACEDINCHILDRENAS
THEYMAYINTERFEREWITHBONEGROWTH
ANDBECOMEINFRA OCCLUDED!DDITIONALLY
THEYMAYCAUSETECHNICALPROBLEMSUPON
PLACEMENTOWINGTOBONEELASTICITY4HE
MANDIBULARMIDLINESUTURECLOSESINTHE
FIRSTYEAROFLIFEANDBONEGROWTHINTHE
AREABETWEENTHEMENTALFORAMINAINTHE
MANDIBLEDOESNOTAPPEARTOBEAFFECTED
$ENTAL5PDATE

0AEDIATRIC$ENTISTRY

&IGURE,ABIALVIEWOFTRANSPLANTEDPREMOLARIN
#ASE

&IGURE  -IRROR VIEW OF TRANSPLANTED PREMOLAR


IN#ASE

INCLUDINGTHERESTORATIVEANDORTHODONTIC
TREATMENTPOSTSURGERY

#ASE

&IGURE0ERIAPICALRADIOGRAPHOF#ASE

&IGURE0HOTOGRAPHOFINFRA OCCLUDED\IN#ASE


BYTHEPRESENCEOFIMPLANTS
)MPLANTSHAVEBEENUSED
SUCCESSFULLYINTHETREATMENTOFCHILDREN
WITHECTODERMALDYSPLASIAWITHASSOCIATED
SEVEREHYPODONTIA HOWEVERINFRA
OCCLUSIONOFIMPLANTSISREPORTEDTOBE
APROBLEM)THASBEENREPORTEDTHAT
IMPLANTPLACEMENTINEDENTULOUSYOUNG
PATIENTSDOESNOTINTERFEREWITHTRANSVERSE
ORSAGITTALGROWTHOFTHEJAWSINTHE
ABSENCEOFTEETHANDINFRA OCCLUSION
DOESNOTAPPEARTOBEAPROBLEMIN
THISPARTICULARGROUP3TIMULATIONOF
ALVEOLARBONEGROWTHHASBEENREPORTED
INTWOEDENTULOUSCHILDRENFOLLOWINGTHE
PLACEMENTOFDENTALIMPLANTS0LACEMENT
OFIMPLANTSINYOUNGPATIENTSISPERCEIVED
TOHAVEADVANTAGESANDDISADVANTAGES
ANDFURTHERRESEARCHINTHISAREAIS
NECESSARY
4HISPAPERDESCRIBESTHEUSE
OFAUTO TRANSPLANTATIONINTWOPATIENTS

$ENTAL5PDATE

! YEAR OLDGIRLWASREFERRED


BYHERDENTALPRACTITIONERFORTHE
MANAGEMENTOFANAVULSED\RESULTING
FROMAFALLTHEPREVIOUSEVENING/N
PRESENTATION THETOOTHHADBEENSTORED
INTAPWATERFORHOURS!CLINICAL
EXAMINATIONREVEALEDSHEWASINTHE
MIXEDDENTITIONPHASEWITHEXCELLENT
ORALHYGIENE4HETOOTHWASRE IMPLANTED
ANDSPLINTEDANDBOTHTHEPATIENTAND
PARENTSWEREWARNEDOFTHEPOORLONG
TERMPROGNOSIS4HEPULPWASEXTIRPATED
DAYSLATERANDTHEROOTCANALDRESSEDWITH
NON SETTINGCALCIUMHYDROXIDE0ULPDENT
0ULPDENT#ORPORATION 7ATERTOWN 53! 
4HENON SETTINGCALCIUMHYDROXIDEWAS
CHANGEDAT MONTHLYINTERVALSTOCOMBAT
THEINCREASINGLYADVANCEDREPLACEMENT
ROOTRESORPTION&IGURE ANDMAINTAIN
THETOOTHINTHEARCHUNTILTHEERUPTIONOF
HERCANINESANDPREMOLARS!SSESSMENTAT
THEAGEOF YEARSYEARSPOSTTRAUMA
REVEALEDBILATERALPOSTERIORCROSS BITES
ANTERIOROPENBITEDUETOTHUMBSUCKING
ANDBUCCALSEGMENTCROWDING4HE\WAS
SEVERELYINFRA OCCLUDEDASARESULTOFTHE
ANKYLOSIS&IGURE 
4REATMENTINVOLVEDTHEINITIAL
PROVISIONOFANUPPERREMOVABLEAPPLIANCE
TOEXPANDTHEUPPERARCHFORWEEKSPRIOR
TOSURGICALINTERVENTION!TSURGERY THE
UPPERSECONDPREMOLARSWEREEXTRACTED
TORELIEVECROWDINGANDTRANSPLANTATION
OFONEEXTRACTEDUPPERPREMOLARINTO
THEPOSITIONOFTHEHEAVILYRESORBED\
4RANSPLANTATIONWASCARRIEDOUTUNDER
GENERALANAESTHETICINACCORDANCEWITH
ESTABLISHEDPROTOCOLS &IGURESAND 
4HEBUCCALCUSPOFTHEPREMOLARFORMED
THELABIALSURFACEOFTHETOOTHINITSNEW
POSITIONAND FOLLOWINGSURGERY THE
PALATALCUSPOFTHETRANSPLANTEDTOOTHWAS

&IGURE#OMPOSITEVENEERMODIFICATIONOF#ASE

&IGURE.ON SETTINGCALCIUMHYDROXIDEDRESSING
OF#ASE

CAREFULLYREDUCEDINSIZEWITHHIGH SPEED
ROTARYINSTRUMENTSTOELIMINATEOCCLUSAL
INTERFERENCE4HETRANSPLANTEDTOOTHWAS
SPLINTEDFORDAYSUSINGAFUNCTIONAL
SPLINTANDTHEPULPEXTIRPATEDPRIORTO
THESPLINTREMOVAL!DRESSINGOFNON
SETTINGCALCIUMHYDROXIDEWASPLACEDAND
CHANGEDAT MONTHLYINTERVALSUNTILTHE
COMPLETIONOFORTHODONTICTREATMENTTO
CORRECTHERBILATERALCROSS BITESANDALIGN
BOTHARCHES WHICHTOOKMONTHSINTOTAL
.OVEMBER

0AEDIATRIC$ENTISTRY

&IGURE$04OF#ASE

&IGURE0ERIAPICALRADIOGRAPHSHOWINGROOT FILLED
PREMOLARIN#ASE

TOOTHINITIALLY4HETOOTHWASINCLUDEDIN
THEORTHODONTICTREATMENTATMONTHS
POSTTRANSPLANTATION WHENTHEREWASNO
RADIOGRAPHICEVIDENCEOFROOTRESORPTION
&IGURE &IXEDAPPLIANCETREATMENTWAS
COMPLETEMONTHSAFTERITSTARTEDAND
THETRANSPLANTEDTOOTHWASRESTOREDWITH
GUTTAPERCHA&IGURE ANDPORCELAIN
VENEERAFTERORTHODONTICRETENTION&IGURE
 

&IGURE#OMPOSITEADDITIONSMODIFYING#ASE

#ASE
&IGURE0ORCELAINVENEEROF#ASE

&IGURE/CCLUSALRADIOGRAPHOF#ASE

4HETOOTHWASRESTOREDWITHACOMPOSITE
VENEERTOIMPROVEAESTHETICAPPEARANCE
AFTERSPLINTREMOVAL&IGURE 5PPERAND
LOWERARCHFIXEDORTHODONTICAPPLIANCE
TREATMENTCOMMENCEDMONTHSPOST
SURGERYWITHOUTLOADINGTHETRANSPLANTED

$ENTAL5PDATE

! YEAR OLDGIRLWASREFERRED


FORTHEMANAGEMENTOFADISCOLOURED
UPPERCENTRALINCISORANDORTHODONTIC
TREATMENT#LINICALEXAMINATIONREVEALED
ADISCOLOUREDANDNON VITAL\WHICHHAD
BEENTRAUMATIZEDYEARSPRIORTOTHE
VISIT2ADIOGRAPHICASSESSMENT&IGURES
AND REVEALEDANIMMATUREAPEX
WITHPARALLELROOTCANALWALLS4HECANAL
HADBEENACCESSEDANDDRESSEDWITH
NON SETTINGCALCIUMHYDROXIDEPASTEAND
THEREWASANASSOCIATEDAREAOFPERIAPICAL
PATHOLOGY
/RTHODONTICASSESSMENT
REVEALEDAN!NGLES#LASS)MALOCCLUSION
ONA#LASS)SKELETALBASEWITHMODERATE
UPPERANDLOWERARCHCROWDING INCREASED
OVERBITEANDANUPPERCENTRELINESHIFTTO
THELEFTSIDE4HEMOLARRELATIONSHIPWAS
UNIT#LASS))ONBOTHSIDES4HEMAXILLARY
LATERALINCISORSWEREPALATALLYDISPLACED
ANDPEG SHAPEDWITHRETAINED"\" AND
THEUPPERCANINESWERENOTPALPABLE
2ADIOGRAPHS&IGURE DEMONSTRATED
THATALLPERMANENTTEETHWEREPRESENTAND

&IGURE0ORCELAINVENEEROF#ASE

THATTHEUPPERCANINESWEREINTHELINEOF
THEDENTALARCH4HEAIMOFORTHODONTIC
MANAGEMENTWASTORELIEVECROWDING
BYEXTRACTIONSFOLLOWEDBYALIGNMENT
OFBOTHARCHES4HISWOULDINCLUDETHE
EXTRACTIONOFBOTHLOWERSECONDPREMOLARS
ANDBOTHPALATALLYPLACEDPEG SHAPED
UPPERLATERALINCISORS4HEUPPERCANINE
TEETHWEREMODIFIEDWITHTHEADDITIONOF
COMPOSITERESININORDERTOMIMICUPPER
LATERALINCISORS!DECISIONWASALSOTAKEN
ATTHISSTAGETOEXTRACTTHE\OWINGTO
ADVANCEDROOTRESORPTIONANDPOORLONG
TERMPROGNOSIS/NEOFTHEEXTRACTEDLOWER
.OVEMBER

0AEDIATRIC$ENTISTRY

PREMOLARSWASTRANSPLANTEDINTOTHESOCKET
OFTHEEXTRACTED\&URTHERRESTORATIVE
MANAGEMENTWASASDESCRIBEDFORTHE
FIRSTCASEANDTHEPATIENTHADCOMPOSITE
ADDITIONSTOMODIFYTHEAPPEARANCE
OFTHETRANSPLANTEDPREMOLAR&IGURE
 5PPERANDLOWERFIXEDORTHODONTIC
APPLIANCETREATMENTCOMMENCEDSIX
MONTHSAFTERSURGERYANDLASTEDFOR
MONTHS!PORCELAINVENEERWASPLACED
ONCOMPLETIONOFORTHODONTICRETENTION
&IGURE 

$ISCUSSION
4HEAIMOFRESTORINGMISSING
ANTERIORTEETHISTOMAXIMIZEFUNCTION
ANDAESTHETICS4REATMENTOPTIONS
INCLUDEORTHODONTICSPACECLOSURE
OSSEO INTEGRATEDIMPLANTS ADHESIVEOR
CONVENTIONALBRIDGEWORK PARTIALDENTURE
ANDAUTO TRANSPLANTATION/SSEO INTEGRATED
IMPLANTSARERARELYUSEDINCHILDRENUNDER
YEARSOFAGE$OWNWARDANDFORWARD
GROWTHOFTHEFACECONTINUESTHROUGHOUT
CHILDHOODANDEARLYADOLESCENCE CAUSING
THEANKYLOSEDIMPLANTFIXTURETOINFRA
OCCLUDE COMPROMISINGTHEAESTHETIC
RESULT!UTO TRANSPLANTATIONISAVIABLE
OPTIONIFASOUNDTOOTHISSCHEDULEDFOR
ORTHODONTICEXTRACTION!TRANSPLANTED
TOOTHACTSASANATURALSPACEMAINTAINER
PRESERVESTHEALVEOLARBONEANDHASAN
INTACTPERIODONTALLIGAMENTMAKINGIT
AMENABLETOORTHODONTICTREATMENT)FTHE
TRAUMATIZEDTOOTHTOBELOSTISEXTRACTEDAT
THESAMETIMEASAUTO TRANSPLANTATIONOF
THEDONORTOOTHTHESPACEAVAILABLEOFTEN
REQUIRESLITTLEIFANYSURGICALALTERATION
%VIDENCEFORTHESUCCESSOF
AUTO TRANSPLANTATIONHASBEENPRESENTED
BYANUMBEROFWORKERS   INCLUDING
SUCCESSRATESOFFORIMMATURETEETH
ANDFORMATURETEETHTRANSPLANTED
INTOTHEUPPERINCISORREGION4HEDEGREEOF
ROOTDEVELOPMENTOFTHETOOTHATTHETIME
OFTRANSPLANTATIONISIMPORTANT)DEALLY
ROOTDEVELOPMENTSHOULDBEAHALFTOTWO
THIRDSCOMPLETE ASTHETRANSPLANTEDTOOTH
MAYBECAPABLEOFREVASCULARIZATION
4HESETEETHMUSTBEMONITOREDCLOSELYFOR
FURTHERROOTGROWTHAFTERTRANSPLANTATION
ANDTHEPULPALTISSUESHOULDBE
EXTIRPATEDIFTHEREISANYDOUBTABOUT
REVASCULARIZATION4EETHTRANSPLANTEDWITH
COMPLETEROOTDEVELOPMENTSHOULDBE
TREATEDASAVULSIONINJURIESANDHAVETHE
PULPEXTIRPATEDPRIORTOSPLINTREMOVAL
!SURVIVALRATEOFANDOVER
YEARSFORCOMPLETEANDINCOMPLETEROOT
FORMATIONHASBEENREPORTEDFOLLOWING
.OVEMBER

TRANSPLANTATIONOFPREMOLARS  WHETHER
THEROOTOFTHETRANSPLANTEDTOOTHIS
IMMATUREORFULLYFORMED
4RAUMATIZEDANDREPLANTED
TEETHINYOUNGPATIENTSSHOULDBESEEN
ASLONG TERMTEMPORARIESTHATWOULD
SERVETOMAINTAINTHEDEVELOPMENTOFTHE
PERMANENTDENTITIONANDPRESERVEBONE
)MPLANTSSHOULDNOTBEPLACED
UNTILBONEGROWTHISCOMPLETEAND INTHE
YOUNGPATIENT ANINTERMEDIATETREATMENT
ISOFTENREQUIREDINTHECASEOFTRAUMA
FOLLOWINGTHELOSSOFATRAUMATIZEDTOOTH
PRIORTODEFINITIVERESTORATIONOFTHESPACE
WITHASINGLETOOTHIMPLANT
)FSUCHTEETHARESEENTOBEAN
INTERMEDIATETREATMENT THEAESTHETICS
SHOULDREMAINSATISFACTORYUNTILSUCH
TIMEASTHETOOTHISPLANNEDFORDEFINITIVE
REPLACEMENT4HEWIDTHOFAPREMOLAR
TOOTHATTHECEMENTO ENAMELJUNCTIONIS
LESSTHANTHATOFAMAXILLARYINCISORTOOTH
ANDTHEREFORE ASPHYSIOLOGICALGINGIVAL
RECESSIONOCCURS THEAPPEARANCEFOLLOWING
AESTHETICCORRECTIONOFTHETRANSPLANTED
TOOTHISLIKELYTODETERIORATE)TISIMPORTANT
THATPOTENTIALPATIENTSAREMADEAWAREOF
THISPOSSIBILITY
4HEINTERMEDIATERESTORATION
OF#ASEINVOLVEDCOMPOSITEADDITIONSTO
THETRANSPLANTEDTOOTH&IGURE WHEREAS
#ASEHADACOMPOSITEVENEERUSINGTHE
LABIALPORTIONOFACELLULLOIDCROWNFORMER
&IGURE 4HESESIMPLERESTORATIONSCOULD
BECARRIEDOUTWITHINPRIMARYCARE4HIS
COULDREDUCETHENUMBEROFHOSPITAL
APPOINTMENTSANDPROMOTEJOINTPATIENT
CARE
3UCCESSOFAUTO TRANSPLANTED
TEETHCANBECOMPLICATEDBYINFLAMMATORY
RESORPTIONANDREPLACEMENTRESORPTION
ANKYLOSIS %NDODONTICFAILURE WHICHIS
REPORTEDTOOCCURINnOFCASES MAY
COMPROMISETHEAMOUNTOFBONEAVAILABLE
FORFUTUREIMPLANTS
4HECASESPRESENTED
HEREDEMONSTRATESUCCESSFULAUTO
TRANSPLANTATIONINTHESHORTTERM HOWEVER
THISISAPROCEDUREWHICHMUSTONLYBE
UNDERTAKENONCETHEPATIENTISFULLY
INFORMEDANDHASAFULLUNDERSTANDINGOF
THEIMPLICATIONSOFSUCHTREATMENTANDTHE
POSSIBLENEGATIVESEQUELAETHATMAYOCCUR
4HEUSEOFTHISTECHNIQUEIN
THECASESDOCUMENTEDHEREINVOLVED
TREATMENTUNDERGENERALANAESTHESIA
WHICHISARISKFACTOR4HISDECISIONWOULD
HAVEBEENTAKENFOLLOWINGDISCUSSIONOF
THEANAESTHETICOPTIONSWITHBOTHPATIENTS
ANDPARENTS)TISPOSSIBLETOCARRYOUT
THISPROCEDUREUNDERLOCALANAESTHETIC

WITHORWITHOUTTHECONCOMITANTUSEOF
CONSCIOUSSEDATION)TISAPROCEDUREWHICH
ISHIGHLYTECHNIQUE SENSITIVEANDTHEREFORE
AHIGHLEVELOFPATIENTCO OPERATIONWOULD
BEREQUIREDIFUNDERTAKENUNDERLOCAL
ANAESTHETIC WITHORWITHOUTCONSCIOUS
SEDATION
&INALRESTORATIONOFTHE
TRANSPLANTEDTOOTHIN#ASECOULDHAVE
BEENACHIEVEDWITHCOMPOSITERESIN
ADDITIONS HOWEVER THISMAYHAVELEDTOA
LESSSATISFACTORYRESULTASBUCCALREDUCTION
OFTHETRANSPLANTEDTOOTHWASREQUIREDFOR
THETOOTHTOHARMONIZEWITHTHEADJACENT
TEETH4HEADVANTAGEOFUSINGCOMPOSITE
RESINFORAESTHETICTREATMENTISTHAT AS
THEPOSITIONOFTHEGINGIVALMARGINALTERS
THEAPPEARANCEOFTHERESTORATIONCANBE
IMPROVEDRELATIVELYQUICKLYANDEASILY
UNLIKEAPORCELAINVENEER
)TISPOSSIBLETHATTHEFINAL
AESTHETICRESULTIN#ASECOULDHAVE
BEENIMPROVEDBYMAINTAININGTHEUPPER
LATERALINCISORSANDBUILDINGTHEMUPWITH
COMPOSITERESININADDITIONTOBUILD UPOF
THETRANSPLANTEDTOOTH

#ONCLUSION
!UTO TRANSPLANTATIONOFTEETH
CANRESULTINSATISFACTORYTREATMENT
OUTCOMESINTERMSOFFUNCTIONAND
AESTHETICS4HEDECISIONTOTRANSPLANT
SHOULDALWAYSINVOLVEAJOINTSPECIALTY
APPROACH0RIMARYCAREDENTISTSSHOULDBE
INVOLVEDINTHELONG TERMMANAGEMENTOF
PATIENTSBYPROVIDINGROUTINECARE WHILST
CHANGEOFNON SETTINGCALCIUMHYDROXIDE
DRESSINGSISUNDERTAKENINTHEHOSPITAL
4HISWOULDALLOWPATIENTSTOMAINTAIN
CONTINUITYOFCAREANDRECEIVEROUTINE
TREATMENTNEARERHOME

2EFERENCES









/"RIEN-#HILDRENS$ENTAL(EALTHIN
THE5NITED+INGDOM/FFICEOF
0OPULATION#ENSUSESAND3URVEYS

(AMILTON&! (ILL&* (OLLOWAY0*!N
INVESTIGATIONOFDENTO ALVEOLARTRAUMA
ANDITSTREATMENTINTHEADOLESCENT
POPULATION0ARTTHEPREVALENCEAND
INCIDENCEOFINJURIESANDTHEEXTENTOF
ADEQUACYOFTREATMENTRECEIVED
"R$ENT*n
!NDREASEN*/ !NDREASEN&-$ENTAL
TRAUMATOLOGYQUOVADIS%NDODONT
$ENT4RAUMATOLn
.ATIELLA*2 !RMITAGE*% 'REEN'74HE
$ENTAL5PDATE

0AEDIATRIC$ENTISTRY









REPLANTATIONANDTRANSPLANTATIONOF
TEETH/RAL3URGERYn
!PFEL(0RELIMINARYWORKIN
TRANSPLANTINGTHETHIRDMOLARTOTHE
FIRSTMOLARPOSITION*!M$ENT!SSOC
n
3LAGSVOLD/ "JERCKE"
!UTOTRANSPLANTATIONOFPREMOLARSWITH
PARTLYFORMEDROOTS!M*/RTHODONT
n
!NDREASEN*/ 0AULSEN(5 9U:
!HLQUIST2 "AYER4 3CHWARTZ/!LONG
TERMSTUDYOFAUTOTRANSPLANTED
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ANDSTANDARDIZEDTECHNIQUESFOR
MONITORINGHEALING%UR*/RTHODONT
n
7ATERHOUSE0* (OBSON23 -EECHAN
*'!UTOTRANSPLANTATIONASATREATMENT

OPTIONAFTERLOSSOFAMAXILLARY
PERMANENTINCISORTOOTH!CASEREPORT
)NT*0AEDIATR$ENTn
 $URSTBERGER' #ELAR! 7ATZEK'
)MPLANT SURGICALANDPROSTHETIC
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-AXILLOFAC)MPLANTSn
 +EARNS' 3HARMA! 0ERROTT$

3CHMIDT" +ABAN, 6ARGEVIK+
0LACEMENTOFENDOSSEOUSIMPLANTS
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HEREDITARYECTODERMALDYSPLASIA/RAL
3URG/RAL-ED/RAL0ATHOLn
 %SCOBAR6 %PKER".!LVEOLARBONE
GROWTHINRESPONSETOENDOSTEAL
IMPLANTSINTWOPATIENTSWITH
ECTODERMALDYSPLASIA)NT*/RALAND
-AXILLOFAC3URGn

 +UGELBERG2 4EGSJO5 -ALMGREN/


!UTOTRANSPLANTATIONOFTEETHTOTHE
UPPERINCISORREGIONINADOLESCENTS
3WED$ENT*n
 +RISTERSON,!UTOTRANSPLANTATION
OFHUMANPREMOLARS!CLINICALAND
RADIOGRAPHICSTUDYOFTEETH)NT*
/RAL3URGn
 &LORES-4 !NDREASON*/ "AKLAND,+
ETAL'UIDELINESFORTHEEVALUATION
ANDMANAGEMENTOFTRAUMATICDENTAL
INJURIES$ENT4RAUMATOLn

 !NDREASEN*/ 0AULSEN(5 9U: "AYER
4 3CHWARTZ/!LONGTERMSTUDYOF
AUTOTRANSPLANTEDPREMOLARS0ART
))4OOTHSURVIVALANDPULPHEALING
SUBSEQUENTTOTRANSPLANTATION%UR*
/RTHODONTn

WAY STARTINGWITHTHEPATIENTASSESSMENT
ANDPRESENTATIONOFTREATMENTOPTIONSAND
MOVINGONTO
/BJECTIVESOFTOOTHPREPARATION
2ESTORATIVE0ERIODONTAL)NTERFACE
0ROVISIONALRESTORATIONS
)MPRESSION MAKINGANDGINGIVAL

MANIPULATIONS
#LINICALMAXILLOMANDIBULARRELATIONSHIPS
ANDDENTALARTICULATORS
3HADETAKINGIN&IXED0ROSTHODONTICS
%VALUATIONOFCOMPLETEDRESTORATIONS
3ELECTIONANDUSEOFLUTINGCEMENTS
2ESIN BONDEDRESTORATIONS
2ESTORATIONOFNON VITALTEETH
)NTHEOPINIONOFTHISREVIEWER THIS
SUBJECTISTOOBROADTOBEABLETOCOVER EVEN
INBRIEF ALLASPECTSOF&IXED0ROSTHODONTICS
ANDTHEREFOREPERHAPSTHETITLESHOULDREFLECT
THEFACTTHATTHISISONLYANINTRODUCTION
TOTHESUBJECT)NTHISRESPECT THEAUTHORS
HAVESUCCEEDED BUTANYONEWHOWISHES
TOUNDERTAKEANYTHINGOTHERTHANTHEMOST
SIMPLECASESWOULDBEWELLADVISEDTOREFERTO
SOMEOFTHEMOREEXTENSIVETOMES
)NTHEPREFACE THEAUTHOREDITOR
STATESTHATONEOFTHEMAINOBJECTIVESISTO
PRESERVETOOTHTISSUE)WOULDAGREEWITH
THISSTATEMENTCOMPLETELY INTHISAGEOF
MINIMALINTERVENTIONANDADHESIVEDENTISTRY
4HEREFORE )WASRATHERSURPRISED IN#HAPTER
 TOSEEFULLCERAMICCROWNPREPARATION
OFSIXLOWERANTERIORTEETHSUBSEQUENTTO
CROWNLENGTHENINGSURGERYONAPATIENTWITH
NON CARIOUSTOOTHSURFACELOSS4HECROWN
LENGTHENINGANDSUBSEQUENTRESTORATIONS
RESULTEDINAVERYAESTHETICOUTCOME BUT

ATWHATCOSTTOTHELONG TERMHEALTHOFTHE
TEETH
)NSPITEOFMYRESERVATIONS THE
READERSOFTHISREVIEWMAYBESURPRISEDWHEN
)SAYTHAT)WOULDRECOMMENDTHEADDITION
OFTHISBOOKTOTHEGENERALPRACTITIONERS
DENTALLIBRARY(OWEVER THE'$0WANTINGTO
PROVIDEMORETHANVERYSTRAIGHTFORWARDFIXED
PROSTHESESWOULDBEWELLADVISEDTOLOOK
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0ETER3ANDS
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