ArticleDentistry journal2026
Orthodontic Space Management and Mandibular First Premolar Autotransplantation Following Traumatic Anterior Tooth Loss in a Child with Five-Year Clinical and Radiographic Follow-Up: A Case Report.
Article in Dentistry journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
BACKGROUND/
objectivesThe management of severe anterior dental trauma in growing patients remains a clinical challenge. This case report describes the treatment of a 10-year-old boy presenting with traumatic loss of maxillary anterior teeth following a road traffic accident, including avulsion of two permanent incisors and a primary canine, associated with luxation and intrusion of the contralateral central incisor.
methodsA multidisciplinary approach involving paediatric dentistry, orthodontics, oral surgery, and restorative dentistry was implemented. Treatment aimed to preserve the traumatised incisor and restore the anterior maxillary region through a biological approach combining mandibular first premolar autotransplantation and orthodontic space management.
resultsThe transplanted first mandibular premolar demonstrated favourable healing, with continued root development and a satisfactory crown-to-root ratio. After orthodontic treatment, the tooth was restored with a composite veneer, achieving good aesthetic and functional outcomes, maintained at the 5-year follow-up.
conclusionsThis case highlights that autotransplantation combined with orthodontic space management may represent a viable treatment option in carefully selected growing patients, allowing preservation of alveolar bone, function, and aesthetics. Appropriate surgical, orthodontic, and restorative planning was crucial to the treatment's success.
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