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Autotransplantation case - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: Fred Barnett
To: ROOTS
Sent: Saturday, October 30, 2010 3:54 AM
Subject: [roots] Autotransplantation case

from one of my 2nd year residents....I am keeping my fingers crossed on this one!!!! - Fred

Hello everyone,

Here is an autotransplantation case that we did this morning at 
Einstein that was treatment planned with Dr Barnett.
I would like to thank our oral surgeon attending Dr Kim for 
extracting #30 and #1.

15 y.o healthy female with non restorable #30.  It was decided 
that #17 or 32 would not be suitable donor teeth for site #30 
because they would be difficult to extract without sectioning.

It was decided to use #1 as a donor tooth.  Roots were about 
1/2 fully developed. The donor was kept "out of the mouth" in 
Hanks' Balanced Salt Solution for around 40 minutes. The palatal 
root of #1 was placed in  the area of the former "distal" root 
of #30 and the buccals of #1, in the "mesial" area of #30.

I removed around 4mm of interradicular bone and spent some time 
preparing the palatal surface of the crown of  #1 in order to 
allow a better fit and infrapositioning of the tooth.I also 
reduced the occlusion about 1mm on #1.

5.0 vicryl mesial and distal interproximal sutures were placed.  
"Bond A Braid" ortho wire was placed from #29 to 31 with 
flowable composite.

Patient was given a prescription for doxycycline 100mg BID X 7d 
and Ibuprofen 600mg QID prn pain.

I'm keeping my fingers crossed that we achieve success in this case...

Any thoughts would be greatly appreciated. - Rachele Luciano DMD

Protaper flaring

6 yr old Empress

Cvek pulpotomy

Middle mesial

Endo misdiagnosis

MTA retrofill

Resin core

BW importance

Bicuspid tooth

Necrotic #8 treatment

Finding MB2 / MB3

Deep in a canal

Broken file retrieval

Molar cases

Pushed over apex

MB2 and palatal canal

Long lower third

Veneer cases

CT Implant surgury

Weird Anatomy

Apical trifurcation

Canal and Ultrasonics

Cotton stuffed chamber

Pulp floor sandblasting

Silver point removal

Difficult acute curve

Marked swelling

5 canaled premolar

Sealer overextension

Complex anatomy

Secondary caries

Zygomatic arch

Confluent mesials

LL 1st molar (#19)

Shaping vs Cleaning

First bicuspid

In Vivo mesial view

Inaccesible canals

Premolar 45

Ortho and implant

Radioluscency

Lateral incisor

Obturation

Churning irrigant

Cold lateral

Tipped to lingual

Acute pulpitis images

Middle distal canal

Silver point

Crown preparation

Epiphany healing

Weird anatomy

Dual Xenon

Looking for MB2

Upper molar resorption

Acute apical abcess

Finding MB2

Gingival inflammation

Irreversible pulpitis

AG BU ortho band

TF Files

using TF files

Broken bur

Warm technique

Restorative prognosis

Tooth # 20 and #30

Apical third

3 canal premolar

Severe curvature

Interesting anatomy

Chamber floor

Zirconia crown

Dycal matrix

Cracked tooth

Tooth structure loss

Multiplanar curves