Treatment of Tooth Autotransplantation in a Cleft Lip and Cleft Palate Patient: A Case Report
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Abstract
Tooth autotransplantation into cleft site in the cleft lip and cleft palate patient presents numerous challenges, primarily due to insufficient alveolar bone in this area that has undergone bone grafting for a long period while bone augmentation is often difficult. This case report details the tooth autotransplantation procedure in a cleft lip and cleft palate patient who exhibited an ectopically erupted maxillary right canine. The patient also had limited alveolar bone width to support a transplanted tooth. Treatment involved the extraction of the maxillary right canine and its transplantation to the congenitally missing right lateral incisor area, corresponding to a cleft area that had undergone bone grafting four years ago. To support a transplanted tooth, alveolar ridge expansion was performed. Root canal treatment was initiated three weeks post-transplantation. The outcome demonstrated successful healing of the transplanted tooth and periodontium, with no signs of ankylosis. The transplanted tooth is functional and the patient is undergoing orthodontic treatment. This article reviews relevant literature on tooth autotransplantation in cleft lip and palate patient and discusses the outcome of this case.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการลงตีพิมพ์ในวิทยาสารทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นถือเป็นลิขสิทธิ์เฉพาะของคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่น หากบุคคลหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักษณ์อักษร จากคณะทันตแพทยศาสตร์ มหาวิทยาลัยขอนแก่นก่อนเท่านั้น
References
Suzuki A, Nakano M, Yoshizaki K, Yasunaga A, Haruyama N, Takahashi I. A longitudinal study of the presence of dental anomalies in the primary and permanent dentitions of cleft lip and/or palate patients. Cleft Palate Craniofac J. 2017;54(3):309-20.
Chowchuen B, Surakunprapha P, Winaikosol K, Punyavong P, Kiatchoosakun P, Pradubwong S. Birth prevalence and risk factors associated with CL/P in Thailand. Cleft Palate Craniofac J. 2021;58(5):557-66.
Naros A, Schulz M, Finke H, Reinert S, Krimmel M. Autologous tooth transplantation in craniofacial malformations. Cleft Palate Craniofac J. 2024;61(9):1429-38.
Chacko T, Vinod S, Mani V, George A, Sivaprasad KK. Management of cleft maxillary hypoplasia with anterior maxillary distraction: Our experience. J Oral Maxillofac Surg. 2014; 13(4):550-5.
Aizenbud D, Coval M, Hazan-Molina H, Harari D. Isolated soft tissue cleft lip: Epidemiology and associated dental anomalies. Oral Dis. 2011;17(2):221-31.
De Muynck S, Verdonck A, Schoenaers J, Carels C. Combined surgical/orthodontic treatment and autotransplantation of a premolar in a patient with unilateral cleft lip and palate. Cleft Palate Craniofac J. 2004;41(4):447-55.
Nimčenko T, Omerca G, Varinauskas V, Bramanti E, Signorino F, Cicciù M. Tooth autotransplantation as an alternative treatment option: A literature review. Dent Res J (Isfahan). 2013;10(1):1-6.
Denys D, Shahbazian M, Jacobs R, Laenen A, Wyatt J, Vinckier F, et al. Importance of root development in autotransplantations: A retrospective study of 137 teeth with a follow-up period varying from 1 week to 14 years. Eur J Orthod. 2013;35(5):680-8.
Michl I, Nolte D, Tschammler C, Kunkel M, Linsenmann R, Angermair J. Premolar autotransplantation in juvenile dentition: quantitative assessment of vertical bone and soft tissue growth. Oral Surg Oral Med Oral Pathol Oral Radiol. 2017;124(1):1-12.
Bjerklin K, Bennett J. The long-term survival of lower second primary molars in subjects with agenesis of the premolars. Eur J Orthod. 2000;22(3):245-55.
Andreasen JO, Paulsen HU, Yu Z, Bayer T, Schwartz O. A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod. 1990;12(1):14-24.
Guo J, Li C, Zhang Q, Wu G, Deacon SA, Chen J, et al. Secondary bone grafting for alveolar cleft in children with cleft lip or cleft lip and palate. Cochrane Database Syst Rev. 2011;(6):1-24.
Suwanapong T, Waikakul A, Boonsiriseth K, Ruangsawasdi N. Pre- and peri-operative factors influence autogenous tooth transplantation healing in insufficient bone sites. BMC Oral Health. 2021;21(1):325.
Yilmaz HH, Turkkahraman H, Sayin MO. Prevalence of tooth transpositions and associated dental anomalies in a Turkish population. Dentomaxillofacial Radiol. 2005;34(1):32-35.
Chattopadhyay A, Srinivas K. Transposition of teeth and genetic etiology. Angle Orthod. 1996;66(2):147-52.
Finkelstein T, Shapira Y, Pavlidi AM, Davidovitch M, Blumer S, Schonberger S, et al. Canine Transposition - Prevalence, Distribution and Treatment Considerations among Orthodontic Patients. J Clin Pediatr Dent. 2020;44(4):268-73.
Onyeaso CO, Onyeaso AO. Occlusal/Dental anomalies found in a random sample of Nigerian schoolchildren. Oral Health Prev Dent. 2006;4(3):181-6.
Sidiropoulou SK, Kalamanos E, Chatzigianni A. Tooth transpositions associated with dental anomalies and treatment management in a sample of orthodontic patients. J Clin Ped Dent. 2003;28(1):19-25.
Hamamoto N, Hamamoto Y, Kobayashi T. Tooth autotransplantation into the bone-grafted alveolar cleft: report of two cases with histologic findings. J Oral Maxillofac Surg. 1998;56(12):1451-6.
Stenvik A, Semb G, Bergland O, Abyholm F, Beyer-Olsen ME, Gerner N, et al. Experimental transplantation of teeth to simulated maxillary alveolar clefts. Scand J Plast Reconstr Surg Hand Surg. 1989;23(2):105-8.
Hillerup S, Dahl E, Schwartz O, Hjørting-Hansen E. Tooth transplantation to bone graft in cleft alveolus. Cleft Palate Craniofac J. 1987; 24(2):137-41.
Misch CM. Implant site development using ridge splitting techniques. Oral Maxillofac Surg Clin North Am. 2004;16(1):65-74.
Hariri R, Alzoubi EE. Autotransplantation in combination with orthodontic treatment. J Orthodont Sci. 2019;8:11.
Tsukiboshi M. Autogenous tooth transplantation: a reevaluation. Int J Periodontics Restorative Dent. 1993;13(2):120-49.
Lagerström L, Kristerson L. Influence of orthodontic treatment on root development of autotransplanted premolars. Am J Orthod. 1986;89(2):146-50.
Tsukiboshi M, Tsukiboshi C, Levin L. A step-by step guide for autotransplantation of teeth. Dent Traumatol. 2023;39:70-80.
Pogrel MA. Evaluation of over 400 autogenous tooth transplants. J Oral Maxillofac Surg. 1987;45(3):205-11.
Tsukiboshi M, Yamauchi N, Tsukiboshi Y. Long-term outcomes of autotransplantation of teeth: A case series. Dent Traumatol. 2019;35(6):358-67.
Yang S, Jung BY, Pang NS. Outcomes of autotransplanted teeth and prognostic factors: a 10-year retrospective study. Clin Oral Investig. 2019;23(1):87-98.
Mejàre B, Wannfors K, Jansson L. A prospective study on transplantation of third molars with complete root formation. Oral Surg Oral Med Oral Pathol Oral Radiol. 2004;97(2):231-8.
Aizenbud D, Zaks M, Abu-El-Naaj I, Rachmiel A, Hazan-Molina H. Mandibular premolar autotransplantation in cleft affected patients: The replacement of congenital missing teeth as part of the cleft patient’s treatment protocol. J Craniomaxillofac Surg. 2013;41(5):371-81.
Tsukiboshi M. Autotransplantation of teeth: Requirements for predictable success. Dent Traumatol. 2002;18(4):157-80.
Czochrowska EM, Semb G, Stenvik A. Nonprosthodontic management of alveolar clefts with 2 incisors missing on the cleft side: A report of 5 patients. Am J Orthod Dentofacial Orthop. 2002;122(6):587-92.
Declerck E, EzEldeen M, Wyatt J, Begnoni G, Willems G, Jacobs R, et al. Application of orthodontic force in autotransplanted teeth: a longitudinal study. Clin Oral Investig. 2025; 29(1):69.
Tan BL, Tong HJ, Narashimhan S, Banihani A, Nazzal H, Duggal MS. Tooth autotransplantation: An umbrella review. Dent Traumatol.2023;39 (sppl.1):2-29.
