Tooth transplantations, especially in growing patients, are attractive alternative to treat tooth agenesis, traumatically injured maxillary incisors and impacted teeth. Careful planning of treatment using tooth transplantation regarding orthodontic and surgical indications can reduce the risk of post-surgical complications and obtain satisfactory treatment results. Transplanted teeth not only provide satisfactory long-term replacements of missing teeth but also can preserve and regenerate alveolar bone. Premolars with developing roots are the most commonly transplanted teeth because of their best healing potential, but also developing third molars, immature impacted teeth and developed premolars can be successfully transplanted.
The protocol of immature tooth transplantation in orthodontic treatment will be discussed during lecture illustrated by various clinical examples. The presentation will postsurgical monitoring related to successful healing, detection of possible complications and prosthodontic reshaping of premolars transplanted to anterior maxilla. The critical aspects of the pre-surgical and post-surgical orthodontic treatment will be presented.