Orthodontic treatment decisions when maxillary central incisors are absent or are of poor prognosis, are discussed. Autotransplantation of mandibular first premolars to the incisor region is suggested as an approach in selected cases. The literature is reviewed, surgical technique described and case selection summarized. Cases are reported where autotransplantation of premolars to the maxillary incisor region has produced good functional and aesthetic results.
Get full access to this article
View all access options for this article.
References
1.
AsherC. and LewisD. H. (1986) The integration of orthodontic and restorative procedures in cases with missing maxillary incisors, British Dental Journal, 160, 241–245.
2.
AndreasonJ. O. (1970) Treatment of fractured and avulsed teeth, Journal of Dentistry for Children, 38, 29–48.
3.
AndreasenJ. O. (1981) Traumatic injuries of the teeth, 2nd edn, Munksgaard, Copenhagen.
4.
AndreasenJ. O. and Hjørting-HansenE. (1966a) Replantation of teeth. I. Radiographic and clinical study of 110 human teeth replanted after accidental loss, Acta Odontologica Scandinavia, 24, 263–286.
5.
AndreasenJ. O. and Hjørting-HansenR. (1966b) Replantation of teeth. II. Histological study of 22 replanted anterior teeth in humans, Acta Odolontologica Scandinavia, 24, 287–306.
6.
AndreasonJ. O. and KristersonL. (1981) The effect of extra alveolar root filling with calcium hydroxide on periodontal healing after replantation of permanent incisors in monkeys, Journal of Endodontics, 7, 349–345.
7.
CookeM. S. and BrookA. H. (1979) The paedodontic/orthodontic interface, Part I, Dental Update, 6, 233–245.
8.
CookeM. S. and ScheerB. (1983) Class II, division I malocclusions with a missing incisor. Three treatment alternatives, Dental Update, 10, 179–189.
9.
ÇvekM. (1973) Treatment on non-vital permanent incisors with calcium hydroxide. II. Effects on external root resorption in luxated teeth compared with effect of root filling with gutta-percha. A follow-up, Odontologisic Revy (Malmo), 24, 343–354.
10.
DixonD. A. (1971) Autogenous transplantation of tooth germs into the upper incisor region, British Dental Journal, 131, 260–265.
11.
KristersonL. (1985) Autotransplantation of human premolars. A clinical and radiographic study of 100 teeth, International Journal of Oral Surgery, 14, 200–213.
12.
KristersonL. and AndreasenJ. O. (1984) Autotransplantation of tooth germs in monkeys: effect of damage to the dental follicle and position of transplant in alveolus, International Journal of Oral Surgery, 13, 324–333.
13.
LagerstromL. and KristersonL. (1986) influence of orthodontic treatment on root development of autotransplanted premolars, American Journal of Orthodontics, 89, 146–150.
14.
McNeilR. and JoondephD. R. (1973) Congenitally absent maxillary lateral incisors treatment planning considerations, The Angle Orthodontist, 43, 24–29.
15.
MonefeldtI. and ZachrissonB. V. (1977) Adjustment of clinical crown height by gingivectomy following orthodontic space closure, The Angle Orthodontist, 47, 256–264.
16.
NentwigG. H. (1985) Die Spatimplantation mit dem FRIALIT—Implantat Typ München (1 + 11), Die Quintessenz, Referat Nr.6772, 1–6.
17.
NorquistG. G. and McNeilR. W. (1975) Orthodontic versus Restorative treatment of congenitally absent lateral incisors; long term periodontal and occlusal evaluation, Journal of Periodontology, 46, 139–143.
18.
SchwaningerB. and ShayE. (1977) Management of cases with upper incisors missing, American Journal of Orthodontics, 71, 396–405.
19.
SchwartzO. and AndreasenJ. O. (1988). Allo-transplantation and auto-transplantation of mature teeth in monkeys. The influence of endodontic treatment, Journal of Oral Maxillofacial Surgery, 46, 672–681.
20.
SlagsvoldO. and BjerckeB. (1974) Autotransplantation of premolars with partly formed roots. A radiographic study of root growth, American Journal of Orthodontics, 66, 355–366.
21.
SlagsvoldO. and BjerckeB. (1978a) Indications for auto-transplantation in cases of missing premolars, American Journal of Orthodontics, 74, 241–257.
22.
SlagsvoldO. and BjerckeB. (1978b) Applicability of autotransplantation in cases of missing upper anterior teeth, American Journal of Orthodontics, 74, 410–421.
23.
TuversonD. L. (1970) Orthodontic treatment using canines in place of missing lateral incisors, American Journal of Orthodontics, 58, 109–127.
24.
ZachrissonB. V. (1978) Improving Orthodontic results in cases with maxillary incisors missing, American Journal of Orthodontics, 73, 274–289.
