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Autotransplantation of Premolars and Esthetic Rehabilitation in a Traumatized Teenage Patient with Challenging Oral Problems: A Case Report

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°íÁØÈñ ( Kho Jun-Hee ) - Gangneung-Wonju National University College of Dentistry Department of Pediatric Dentistry
¹ÚÈ£¿ø ( Park Ho-Won ) - Gangneung-Wonju National University College of Dentistry Department of Pediatric Dentistry
ÀÌÁÖÇö ( Lee Ju-Hyun ) - Gangneung-Wonju National University College of Dentistry Department of Pediatric Dentistry
¼­Çö¿ì ( Seo Hyun-Woo ) - Gangneung-Wonju National University College of Dentistry Department of Pediatric Dentistry

Abstract


The loosely structured periodontal ligament and low mineralized bone surrounding erupting teeth provide minimal resistance to an extrusive force. The maxillary central incisors are the most frequently avulsed due to trauma. The prognosis of replanted teeth is affected by extra-alveolar period and conditions. Implant-supported restorations are contraindicated in adolescent patients with poor prognosis traumatized teeth. Autotransplantation of premolar to the anterior region provides a viable treatment alternative. This case report describes the autotransplantation of premolars and esthetic rehabilitation in a teenage patient with traumatized incisors, poor oral hygiene, and severe crowding. Comprehensive and long-term treatments were performed to improve complex and challenging oral problems.

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Dental trauma; Avulsion; Autotransplantation; Orthodontic treatment; Teenager

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