Successful Autotransplantation of a Mandibular Third Molar: A Case Report
Abstract
Tooth autotransplantation serves as a viable treatment option for replacing non-restorable teeth, particularly in young patients. This case report details the successful autotransplantation of a mandibular third molar to replace a severely damaged right second mandibular molar in a 21-year-old female. Following atraumatic extraction and meticulous handling to minimize extraoral time, the donor tooth was transplanted into the recipient site with optimal endodontic treatment and stabilization through a semirigid splint. One-year post-operation, the transplanted tooth exhibited normal occlusion, physiological mobility, and no signs of complications such as root resorption or ankylosis. This case underscores the importance of careful patient selection, surgical precision, and post-operative care in achieving successful outcomes in tooth autotransplantation, reaffirming its role as a valuable treatment modality in contemporary dentistry. Keywords: Tooth autotransplantation; Endodontic treatment; Endodontics.
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2. Dhar S, Singh G, Mishra M, Gaur A. A Prospective Study on Autotransplantation of Mandibular Third Molars With Complete Root Formation. Craniomaxillofac Trauma Reconstr. 2022;15:340-9.
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4. Maqbool M, Asif J, Noorani T. Success of a tooth auto-transplant despite delayed endodontic treatment due to COVID-19 pandemic lock-down: a case report. Brazilian Dental Science. 2022;25:e3239.
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6. Saccomanno S, Valeri C, Di Giandomenico D, Fani E, Marzo G, Quinzi V. What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review. Saudi Dent J. 2024;36:1268-77.
7. Ong DV, Dance GM. Posterior tooth autotransplantation: a case series. Aust Dent J. 2021;66:85-95.
8. Machado LA, do Nascimento RR, Ferreira DM, Mattos CT, Vilella OV. Long-term prognosis of tooth autotransplantation: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2016;45:610-7.
9. Wang Y, Hofmann M, Ruf S, Zhang J, Huang Q. Intentional replantation and dental autotransplantation of mandibular posterior teeth: Two case reports. Medicine (Baltimore). 2023;102:e35822.
10. Asgary S. Autotransplantation of a Third Molar to Replace an Adjacent Unrestorable Tooth: A Case Report. Cureus. 2023;15:e48133.
11. Park J, Tai K, Hayashi D. Tooth Autotransplantation as a Treatment Option: A Review. The Journal of clinical pediatric dentistry. 2010;35:129-35.
12. Hadji A, Bader G. Assessment of an original dental autotransplantation technique: A retrospective study and proposal of a method. J Clin Exp Dent. 2024;16:e1193-e200.
13. Nimčenko T, Omerca G, Varinauskas V, Bramanti E, Signorino F, Cicciù M. Tooth auto-transplantation as an alternative treatment option: A literature review. Dent Res J (Isfahan). 2013;10:1-6.
14. Puleio F, Lizio AS, Coppini V, Lo Giudice R, Lo Giudice G. CBCT-based assessment of vapor lock effects on endodontic disinfection. Applied Sciences. 2023;13:9542.
15. Zakershahrak M, Moshari A, Vatanpour M, Khalilak Z, Jalali Ara A. Autogenous Transplantation for Replacing a Hopeless Tooth. Iran Endod J. 2017;12:124-7.
16. Lee SJ, Kim E. Minimizing the extra-oral time in autogeneous tooth transplantation: use of computer-aided rapid prototyping (CARP) as a duplicate model tooth. Restor Dent Endod. 2012;37:136-41.
17. Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, et al. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. Int J Oral Maxillofac Surg. 2010;39:1193-203.
18. Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, et al. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. International journal of oral and maxillofacial surgery. 2010;39:1193-203.
19. Ji H, Ren L, Han J, Wang Q, Xu C, Fan Y, et al. Tooth autotransplantation gives teeth a second chance at life: A case series. Heliyon. 2023;9:e15336.
20. Asgary S, Parhizkar A. Management of External Inflammatory Root Resorption following Tooth Autotransplantation Using a Modified Combination of Triple Antibiotics. Case Rep Dent. 2022;2022:5178339.
21. Yao L, Liu J, Cao Z, Sheng L. Study of the intentional replantation procedure used to treat a tooth with a palatogingival groove: A case report. J Clin Exp Dent. 2022;14:e205-e10.
22. Rey Lescure M, Valente NA, Chatelain S, Cinquini C, Barone A. Autotransplantation of Two Immature Third Molars with the Use of L-PRF. Case Rep Dent. 2021;2021:6672711.
2. Dhar S, Singh G, Mishra M, Gaur A. A Prospective Study on Autotransplantation of Mandibular Third Molars With Complete Root Formation. Craniomaxillofac Trauma Reconstr. 2022;15:340-9.
3. Ong DV, Goh P, Dance G. Anterior tooth autotransplantation: a case series. Aust Dent J. 2023;68:202-15.
4. Maqbool M, Asif J, Noorani T. Success of a tooth auto-transplant despite delayed endodontic treatment due to COVID-19 pandemic lock-down: a case report. Brazilian Dental Science. 2022;25:e3239.
5. Algubeal HM, Alanazi AF, Arafat AS, Fatani B, Al-Omar A. Autotransplantation of the Lower Posterior Teeth: A Comprehensive Review. Cureus. 2022;14:e27875.
6. Saccomanno S, Valeri C, Di Giandomenico D, Fani E, Marzo G, Quinzi V. What is the impact of autotransplantation on the long-term stability and patient satisfaction of impacted canines? A Systematic Review. Saudi Dent J. 2024;36:1268-77.
7. Ong DV, Dance GM. Posterior tooth autotransplantation: a case series. Aust Dent J. 2021;66:85-95.
8. Machado LA, do Nascimento RR, Ferreira DM, Mattos CT, Vilella OV. Long-term prognosis of tooth autotransplantation: a systematic review and meta-analysis. Int J Oral Maxillofac Surg. 2016;45:610-7.
9. Wang Y, Hofmann M, Ruf S, Zhang J, Huang Q. Intentional replantation and dental autotransplantation of mandibular posterior teeth: Two case reports. Medicine (Baltimore). 2023;102:e35822.
10. Asgary S. Autotransplantation of a Third Molar to Replace an Adjacent Unrestorable Tooth: A Case Report. Cureus. 2023;15:e48133.
11. Park J, Tai K, Hayashi D. Tooth Autotransplantation as a Treatment Option: A Review. The Journal of clinical pediatric dentistry. 2010;35:129-35.
12. Hadji A, Bader G. Assessment of an original dental autotransplantation technique: A retrospective study and proposal of a method. J Clin Exp Dent. 2024;16:e1193-e200.
13. Nimčenko T, Omerca G, Varinauskas V, Bramanti E, Signorino F, Cicciù M. Tooth auto-transplantation as an alternative treatment option: A literature review. Dent Res J (Isfahan). 2013;10:1-6.
14. Puleio F, Lizio AS, Coppini V, Lo Giudice R, Lo Giudice G. CBCT-based assessment of vapor lock effects on endodontic disinfection. Applied Sciences. 2023;13:9542.
15. Zakershahrak M, Moshari A, Vatanpour M, Khalilak Z, Jalali Ara A. Autogenous Transplantation for Replacing a Hopeless Tooth. Iran Endod J. 2017;12:124-7.
16. Lee SJ, Kim E. Minimizing the extra-oral time in autogeneous tooth transplantation: use of computer-aided rapid prototyping (CARP) as a duplicate model tooth. Restor Dent Endod. 2012;37:136-41.
17. Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, et al. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. Int J Oral Maxillofac Surg. 2010;39:1193-203.
18. Sugai T, Yoshizawa M, Kobayashi T, Ono K, Takagi R, Kitamura N, et al. Clinical study on prognostic factors for autotransplantation of teeth with complete root formation. International journal of oral and maxillofacial surgery. 2010;39:1193-203.
19. Ji H, Ren L, Han J, Wang Q, Xu C, Fan Y, et al. Tooth autotransplantation gives teeth a second chance at life: A case series. Heliyon. 2023;9:e15336.
20. Asgary S, Parhizkar A. Management of External Inflammatory Root Resorption following Tooth Autotransplantation Using a Modified Combination of Triple Antibiotics. Case Rep Dent. 2022;2022:5178339.
21. Yao L, Liu J, Cao Z, Sheng L. Study of the intentional replantation procedure used to treat a tooth with a palatogingival groove: A case report. J Clin Exp Dent. 2022;14:e205-e10.
22. Rey Lescure M, Valente NA, Chatelain S, Cinquini C, Barone A. Autotransplantation of Two Immature Third Molars with the Use of L-PRF. Case Rep Dent. 2021;2021:6672711.
| Files | ||
| Issue | Vol 12, No 4 (Autumn 2025) | |
| Section | Case Report(s) | |
| Keywords | ||
| Tooth autotransplantation; Endodontic treatment; Endodontics. | ||
| Rights and permissions | |
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Azizi V, Chamani A, Shiezadeh I. Successful Autotransplantation of a Mandibular Third Molar: A Case Report. J Craniomaxillofac Res. 2026;12(4):292-298.
