Traumatized Maxillary Incisors: Autotransplantation of Premolars vs. Orthodontic Space Closure

Treatment planning in patients with severely traumatized maxillary central incisors, especially in children and adolescents, require comprehensive orthodontic evaluation. Many aspects including type and number of missing teeth, space conditions, occlusion and profile, patient’s age, cooperation with other specialists and patient’ opinion are important to consider. The key factors will be discussed in relation to premolar transplantation and orthodontic space closure. Various clinical applications will be shown to illustrate important details of the described procedures supported by available scientific evidence.