Interdisciplinary Therapy for Adolescents with Multiple Impacted or Missing Teeth using Tooth Transplantation

Multiple impacted teeth are a very rare dental anomaly, but their occurrence is a serious problem for the patient, because finding a solution for the numerous missing teeth in the dentition is not only a question of aesthetics, but also of functionality. The most complex phase of the treatment of such cases is determining the ideal treatment plan, which must be interdisciplinary for most patients, with orthodontic treatment forming an important part of the overall therapy. The main phase of dental reconstruction includes autotransplantation, orthodontic active traction (biologically guided treatment and therapy plan) and prosthetic reconstruction. A very important factor is the correct timing of the treatment, taking into account the age of the patient and the completion of his growth before implantation on the one hand, and the social handicap that the missing teeth represent for the patient on the other.

Using several examples, the author demonstrates the diagnosis, treatment plan and therapeutic procedures in patients with multiple impacted teeth and missing teeth, where the basis of dental reconstruction was autotransplantation. This can greatly facilitate or completely eliminate the subsequent prosthetic phase of treatment. In addition, because it is actually a biological implant, there is no necessary bone support in the recipient side, on the contrary, the bone is created by the graft, thanks to osteogenesis. This can solve bone insufficiency in areas such as the cleft defect or sinus area where augmentation procedures are very difficult.