Management of Congenital Edentulous Space by Orthodontic Treatment Combined with Autotransplantation of a Mature Tooth: a Case Report

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Sutti Malaivijitnond


There are currently several treatment options available for replacing a missing tooth for patients with congenital edentulous space or tooth loss. Autogenous tooth transplantation is an option for restoring occlusion. This is achieved by surgically transferring a natural tooth from one location in the mouth to another in the same individual. This report describes a successful application of autotransplantation as part of an orthodontic treatment in a 20-year-old female patient. She had upper anterior protrusion and crowded teeth. In addition she suffered from lower spacing due to congenitally missing three mandibular premolars. The maxillary first premolars were extracted and the left one was transplanted into the mandibular left premolar area. A space had been provided here by a well-planned orthodontic treatment combined with an interdisciplinary approach. Within a total time of 28 months, the premolar space was closed with autotransplantation and a good occlusion was achieved. No signs of inflammation or replacement root resorption were observed. Periodontal status corresponding to that of neighboring teeth was maintained. The patient was satisfied with the result.


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Malaivijitnond, S. . (2022). Management of Congenital Edentulous Space by Orthodontic Treatment Combined with Autotransplantation of a Mature Tooth: a Case Report. Lampang Medical Journal, 43(2), 39–50. Retrieved from
Case Report


Waikakul A, Ruangsawasdi N. Autogenous tooth transplantation in a severely insufficient alveolar ridge without a bone graft: Two case reports. Oral Maxillofac Surg Cases. 2019;5(4):100129

Andreasen JO, Hakansson L. Atlas of replantation and transplantation of teeth. Philadelphia: Saunders; 1992. p.111-221.

Baik UB, Kim MR, Yoon KH, Kook YA, Park JH. Orthodontic uprighting of a horizontally impacted third molar and protraction of mandibular second and third molars into the missing first molar space for a patient with posterior crossbites. Am J Orthod Dentofacial Orthop. 2017;151(3):572–82.

Choi YJ, Shin S, Kim KH, Chung CJ. Orthodontic retraction of autotransplanted premolar to replace ankylosed maxillary incisor with replacement resorption. Am J Orthod Dentofacial Orthop. 2014 ;145(4):514–22.

Fujita K, Kanno Z, Otsubo K, Soma K. Autotransplantation combined with orthodontic treatment in adult patients. Orthod Waves. 2008;67(3):128–34.

Nordquist GG, McNeill RW. Orthodontic vs restorative treatment of the congenitally absent lateral incisor long term periodontal and occlusal evaluation. J Periodontol. 1975;46(3):139–43.

Tsukiboshi M. Autotransplantation of teeth: requirements for predictable success. Dent Traumatol. 2002 ;18(4):157–80.

Lundberg T, Isaksson S. A clinical follow-up study of 278 autotransplanted teeth. Br J Oral Maxillofac Surg. 1996;34(2):181–5.

Paulsen HU. Autotransplantation of teeth in orthodontic treatment. Am J Orthod Dentofacial Orthop. 2001;119(4):336–7.

Lekholm U, Gröndahl K, Jemt T. Outcome of oral implant treatment in partially edentulous jaws followed 20 years in clinical function. Clin Implant Dent Relat Res. 2006;8(4):178–86.

Nethander G. Autogenous free tooth transplantation by the two-stage operation technique. An analysis of treatment factors. Acta Odontol Scand. 1998;56(2):110–5.

Berglund L, Kurol J, Kvint S. Orthodontic pretreatment prior to autotransplantation of palatally impacted maxillary canines: case reports on a new approach. Eur J Orthod. 1996;18(5):449–56.

Schwartz O, Andreasen FM, Andreasen JO. Effects of temperature, storage time and media on periodontal and pulpal healing after replantation of incisors in monkeys. Dent Traumatol. 2002;18(4):190–5.

Mine K, Kanno Z, Muramoto T, Soma K. Occlusal forces promote periodontal healing of transplanted teeth and prevent dentoalveolar ankylosis: an experimental study in rats. Angle Orthod. 2005;75(4):637–44.

Andreasen JO. The effect of pulp extirpation or root canal treatment on periodontal healing after replantation of permanent incisors in monkeys. J Endod. 1981;7(6):245–52.

Andreasen JO, Kristerson L. The effect of limited drying or removal of the periodontal ligament. Periodontal healing after replantation of mature permanent incisors in monkeys. Acta Odontol Scand. 1981;39(1):1–13.

Suzaki Y, Matsumoto Y, Kanno Z, Soma K. Preapplication of orthodontic forces to the donor teeth affects periodontal healing of transplanted teeth. Angle Orthod. 2008;78(3):495–501.

Rai AK, Yadav BK. Facilitating orthodontic teeth extraction - a technique suggestion. Saudi J Dent Res. 2016;7(2):96–100.

Promchaiwattana P, Suzuki B, Krisanaprakornkit S, Suzuki EY. Periodontal ligament enhancement in mesio-angulated impaction of third molars after orthodontic tooth movement: a prospective cohort study. Am J Orthod Dentofacial Orthop. 2020;158(4):495–504.