Chegeni Ehsan, Marques José, Figueiredo Rui, Valmaseda-Castellón Eduard, Kadkhodazadeh Mahdi
Faculty of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.
Department of Periodontics, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Adv Periodontol Implant Dent. 2025 Apr 13;17(2):111-118. doi: 10.34172/japid.025.3760. eCollection 2025 Jun.
Dental autotransplantation (DAT) is an effective technique for replacing missing teeth. This case report presents a novel computer-assisted approach using cone-beam computed tomography (CBCT) for 3D planning. A 15-year-old female with a hopeless molar due to failed endodontic treatment underwent DAT. Following 3D planning, the donor tooth was surgically extracted and transplanted into the prepared socket, followed by semi-rigid splinting. A meticulous 42-month clinical and radiographic follow-up demonstrated the success and stability of the procedure. This innovative method emphasizes the role of advanced computer technology and 3D imaging in enhancing surgical precision and treatment outcomes. Within the limitations of this case report, DAT, combined with computer-assisted planning, proved a reliable and predictable treatment option for replacing hopeless teeth, particularly in young patients. This approach showed the potential of DAT to transform tooth replacement strategies with better accuracy and decision-making.
牙自体移植（DAT）是一种用于替代缺失牙的有效技术。本病例报告介绍了一种使用锥形束计算机断层扫描（CBCT）进行三维规划的新型计算机辅助方法。一名15岁女性因牙髓治疗失败导致磨牙无法保留，接受了牙自体移植。经过三维规划后，手术拔除供体牙并将其植入准备好的牙槽窝，随后进行半刚性固定。长达42个月的细致临床和影像学随访证明了该手术的成功与稳定性。这种创新方法强调了先进计算机技术和三维成像在提高手术精度和治疗效果方面的作用。在本病例报告的局限性范围内，牙自体移植结合计算机辅助规划，被证明是一种可靠且可预测的治疗选择，尤其适用于年轻患者替代无法保留的牙齿。这种方法显示出牙自体移植在以更高的准确性和决策能力改变牙齿替代策略方面的潜力。
