Severe complication after autotransplantation of bilateral palatal impacted maxillary canines: a lesson to learn

摘要

BackgroundAutogenous tooth transplantation of impacted maxillary canines can be considered in cases where traditional treatment options are prone to failure. We report a clinical case of autogenous tooth transplantation of bilateral impacted maxillary canines with adverse outcome and failure of treatment.MethodsClinical and radiographic data of a fifteen years old girl was collected over a 12-months period.ResultsThis case demonstrates difficulties and possible adverse outcomes that can be faced when performing this surgical technique. Lack of proper presurgical planning and training in the specific autotransplantation procedure, and inadequate use of the surgical technique may not only be followed by failure of treatment and loss of the transplanted teeth but can also jeopardize neighboring healthy teeth, thus complicating further treatment.ConclusionsThis case report of a 15-year old patient with severe complications after autotransplantation of bilateral impacted maxillary canines calls for the need of proper presurgical planning and training with regard to the specificities of the treatment strategy and surgical technique when performing this type of surgery.