Shared case from a post-doctoral endodontic student at Einstein Medical Center – a thing of beauty truly.
18 y/o male. Med Hx:
Non-contributory. Ca(OH)2 placed in #19 (3.6) at
first visit to allow for
healing.
#19 sectioned and extracted. Occlusion of #32 (4.8)reduced prior
to
extraction. #32 placed in Hanks Balance Salt Solution
during
manipulation of socket. Extraction done with OS.
I reduced the septum bone of the recipient site ~4mm to
allow for #32 to
be in hypo-occlusion by 1-2mm.
allow for #32 to
be in hypo-occlusion by 1-2mm.
I sutured the M &
D papilla and then splinted #20 (3.5) and the new #19.
After 4 or 5 tries and
adjustments the fit of the donor tooth in the
socket was pretty good. We
didn’t not use Arestin in this case but
ideally we would’ve loved
to.
Farid Brian Shaikh D.M.D.
Albert Einstein Medical
Center
Class of 2011
Example of autotransplantation – 19 month followup
