Malpositioned canine treatment with autotransplantation and laser

ABSTRACT

Children and young adults often have tooth loss due to congenital tooth deficiency, trauma, or caries. Autotransplantation has many benefits. The transplanted tooth can be moved orthodontically, maintains alveolar bone growth potential during eruption, and functional periodontal ligament function also permits tooth eruption, allows the defected areas to be filled with the bones; gingival contour is much more successful than the one obtained with prosthesis. In this paper, treatment steps and follow-up results of autotransplantation case supported with biostimulation are mentioned. A 14-year-old female patient was admitted to the clinic with a complaint of decayed tooth 53 and malposed tooth 13. Mobile primary tooth was pulled out, and the socket was shaped with surgical drills. By performing transplantation of ectopic canine, splint was applied with steel wire and composite. Diode laser was used to provide deep disinfection of canals. The patient underwent low-dose laser therapy for biostimulation immediately after these procedures. We did not encounter any ankylosis, root resorption, periodontal, or functional problems in our evaluation with computed tomography after 3 years follow-up of the patient.

Key words:

Autotransplantation - biostimulation - diode laser - erbium - chromium:yttrium-scandium-gallium-garnet

• REFERENCES

• 1 Schmidt SK, Cleverly DG. Tooth autotransplantation: An overview and case study. Northwest Dent 2012; 91: 29-33
• 2 Harzer W, Rüger D, Tausche E. Autotransplantation of first premolar to replace a maxillary incisor-3D-volume tomography for evaluation of the periodontal space. Dent Traumatol 2009; 25: 233-7
• 3 Machado LA, do Nascimento RR, Ferreira DM, Mattos CT, Vilella OV. Long-term prognosis of tooth autotransplantation: A systematic review and meta-analysis. Int J Oral Maxillofac Surg 2016; 45: 610-7
• 4 Slagsvold O, Bjercke B. Autotransplantation of premolars with partly formed roots. A radiographic study of root growth. Am J Orthod 1974; 66: 355-66
• 5 Doshi-Mehta G, Bhad-Patil WA. Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: A clinical investigation. Am J Orthod Dentofacial Orthop 2012; 141: 289-97
• 6 Cunha DL, Masioli MA, Intra JB, Roldi A, Dardengo Cde S, Miguel JA. Premolar transplantation to replace a missing central incisor. Am J Orthod Dentofacial Orthop 2015; 147: 394-401
• 7 Chwaja-Pawelec K. Tissue healing after au-tologous tooth transplantation. Dent Med Probl 2010; 47: 359-64
• 8 Miserendino L, Robert PM. Lasers in Dentistry. Hanover Park, IL: Quintessence Publishing; 2013
• 9 Jhingan P, Sandhu M, Jindal G, Goel D, Sachdev V. An in-vitro evaluation of the effect of 980 nm diode laser irradiation on intra-canal dentin surface and dentinal tubule openings after biomechanical preparation: Scanning electron microscopic study. Indian J Dent 2015; 6: 85-90
• 10 Chung SE, Tompson B, Gong SG. The effect of light emitting diode phototherapy on rate of orthodontic tooth movement: A split mouth, controlled clinical trial. J Orthod 2015; 42: 274-83