Clinical cases of autotransplantation of retained dystopian premolars

Abstract

According to different authors, the prevalence of tooth impaction varies from 4 to 28.3%, while the canines and third molars are most often affected by anomalies. Impacted premolars occur in the range of 0.11—3.2%, which leads to orthodontic and aesthetic disorders. One of the possible solutions to the problem may be autotransplantation of impacted tooth into a surgically prepared bed. The aim of study was to evaluate the effectiveness of the autotransplantation technique of impacted formed premolars in the dentition. >. The publication describes two cases of autotransplantation of impacted second premolars in adult patients and their placement in the dental arch. Under local anesthesia, atraumatic removal of the second premolar was performed and its installation in a surgically prepared hole, the wound was sutured. After 2 to 3 weeks, endodontic treatment of the transplanted tooth was performed. >. The postoperative period passed without complications. Since communication with patients after treatment was lost for subjective reasons, intermediate control visits were not carried out. However, 2 years after the surgical intervention, no pathological changes were detected in the area of the operation. >. Our clinical cases demonstrate the possibility of surgical treatment of dental impaction. The method is quite simple and low-traumatic, which allows, if you have certain skills, to use it at an outpatient dental appointment.