Auto Transplantation of a Mandibular Third Molar with Complete Root Development - A Case Report

Autogenous transplantation is an economical as well as the most sorted option for the treatment of badly destroyed teeth when a suitable donor tooth is available. This paper presents successful auto transplantation of a mature mandibular right third molar (48) without anatomical variance is used to replace a grossly decayed mandibular right first molar (46). The mandibular first molar was nonrestorable due to extensive root caries. After extraction of mandibular first molar, root canal therapy was done for the third molar extraorally, and the tooth was reimplanted into the recipient site. After 1.8 years, clinical and radiographic examination revealed satisfactory outcome with no signs or symptoms suggestive of pathology. In selected cases, autogenous tooth transplantation, even after complete root formation of the donor tooth, may be considered as a practical treatment alternative to conventional prosthetic rehabilitation or implant treatment.