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KMID : 0358920170440010108
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Journal of the Korean Academy of Pedodontics
2017 Volume.44 No. 1 p.108 ~ p.115
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Autotransplantation of Ectopically Impacted Teeth : Two Case Reports
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Lim Yu-Ran
Kim Jae-Hwan
Choi Nam-Ki
Kim Seon-Mi
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Abstract
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Numerous therapeutic approaches are available for impacted teeth, including orthodontic retraction, implantation, and autogenous tooth transplantation. Autotransplantation is a promising method, especially for juvenile patients, as it enables preservation of the function of the periodontal tissues, as well as continued alveolar bone growth. This report describes autotransplantation in two cases in which the tooth was fully-ectopically impacted. With case 1, an ectopically impacted premolar was extracted and transplanted in an upright position, and regenerative endodontic treatment was performed using a platelet-rich fibrin clot and mineral trioxide aggregate (MTA). With case 2, a calcifying odontogenic cyst with an impacted left mandibular second molar was treated by enucleation. The tooth was transplanted into the proper position 3 months after enucleation, and endodontic treatment was performed using MTA. In both cases, autotransplantation appeared to provide a simple and rapid treatment option for patients with ectopically impacted teeth. These cases demonstrate that autotransplantation of ectopically impacted teeth is a viable treatment option rather than implant placement or prosthesis, especially in juvenile patients.
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KEYWORD
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Autotransplantation , Ectopically impacted tooth , Platelet-rich fibrin , Calcifying odontogenic cyst
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