Clinical case
Integral surgical and orthodontic treatment of an autotransplanted maxillary canine: case report
Introduction: The main treatment of impacted canines is orthodontics. In case of failure, extraction of the canine and the subsequent placement of a dental implant is given as an alternative. Autotransplantation is considered a treatment option as long as the full extraction of the canine is viable, because it provides many advantages as the ability of mobilization with orthodontics
Case report: Description of a clinical case in which an autotransplantation of an included canine was carried out after traction failed in a young patient. After regenerative surgery was realized in its surroundings the patient underwent orthodontic and restorative treatment. 18 months of follow–up later the patient remains asymptomatic, with no mobility or resorption signs and with a healthy periodontal state in said canine.
Conclusion: Autotransplantation can be a suitable alternative when orthodontic traction has failed, as long as it is viable, especially in young patients when implants are not recommended.
Included canines are considered those that, at their normal eruption age (13.9 years in women and 14.6 years in men), remain retained in the jaw surrounded by the pericoronary sac and with their bone tissue intact1. The prevalence of impacted teeth varies between 5.6 and 18.8%, being the maxillary canines up to 2% of the total impacted teeth2.
The treatment of choice against impacted canines is orthodontic traction to guide them to their ideal position, which is not always viable due to factors such as the location of the canine, age or the refusal of the patient to undergo orthodontic treatment. Faced with this impossibility of conservative traction treatment, two treatment philosophies are presented: the expectant attitude with follow-up periods, leaving the impacted canine while it does not cause any pathology, or the extraction of the same2.
Exodontia is usually associated with the insertion of a dental implant and its rehabilitation with an implant-supported prosthesis. But an alternative to inserting alloplastic grafts is autotransplantation, an ideal replacement of the tooth in the dental arch2,3. Autotransplantation is defined as the process of moving an impacted or erupted tooth from one site to another in the same individual, either to a natural alveolus or surgically created, usually with implant drills3,4. This technique is considered an alternative with an adequate success rate to rehabilitate function and aesthetics, especially in young patients5.
The aim of this article is to describe a clinical case in which an autotransplantation of an impacted canine after failure of the orthodontic traction was performed in a young patient who was subsequently subjected to orthodontic and restorative treatment.
Galán Valero, Elisa
Master Degree Student of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.
Fontán García, Natalia
Master Degree Student of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.
Asensio Acevedo, Ramón
Master Degree Student of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.
Ortega Concepción, Daniel
Master Degree Professor of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.
Flores Gallardo, Arturo
Master Degree Professor of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.
Peña Cardelles, Juan Francisco
Surgery Master Degree Professor of Oral and Implantology at the Universidad Rey Juan Carlos.
Gómez de Diego, Rafael
Master’s Degree Director of Oral Surgery and Implantology at the Universidad Rey Juan Carlos.