Autogenous Tooth Transplantation - Reality or Enigma; Report of 2 Cases with Review of Literature

Autotransplantation of teeth has been carried out for many years, but with varying success rates. Due to which, this procedure is seldom regarded as an appropriate treatment option for patients with missing teeth especially with continued development of osseo-integrated implants. Since placement of implants in growing alveolar bone is controversial, transplantation of available teeth remains a suitable choice for replacing missing units in the young patient. This condition allows the replacement of lost teeth in children and young people that commonly has involved mandibular first molars due to caries, and anterior teeth due to trauma. Dental autotransplant has previously been viewed with uncertainty because of a lack of information on the topic and poor clinical results of reported cases. These poor results were due to a lack of understanding of the biological principles involved and poor clinical technique. Another barriers to acceptance of the technique has been the misconception that autotransplantation can only be successful when immature, developing teeth are transplanted. Success of autotransplantation should therefore be viewed in terms of tooth survival, with or without a ischolar_main filling. Aim of the paper is to discuss outcome of two autotransplantation cases with review of literature.