Autogenous transplantation followed by conservative root canal therapy: Three years follow-up

Fig. 1: Severely destroyed maxillary first molar with an old amalgam restoration, previous root canal therapy and recurrent caries.

Fig. 2: Periapical radiograph of the maxillary right molar. Tooth #18 was to be transplanted to the site occupied by tooth #16.

Fig. 3: Tooth #18 transplanted to the site previously occupied by tooth #16.

Fig. 4: A nylon monofilament flexible splint was used to stabilise the transplanted tooth in the recipient site.

Figs. 5a & b: Fifteen days post-op. Healthy periodontal tissue was evident around the transplanted tooth, before (a) and after (b) splint removal.

Fig. 6: Eight-month post-op radiograph. The retromolar area had healed, but the transplanted tooth showed signs of pulp necrosis and periapical disease.

Figs. 7a & b: Clinical photographs of the tooth just before initiating the root canal therapy (a) and just after nishing the endodontic access opening (b).

Figs. 8a–c: Root canal entrances obturated and pulp chamber oor cleaned palatal (a), mesiobuccal (b) and distobuccal (c).

Fig. 9: Final radiograph of the root canal therapy and coronal restoration. Placing the coronal filling material into the pulp chamber tends to be complex with such a small access opening.

Figs. 10a & b: Adhesive coronal restoration, just before (a) and after (b) removal of the isolation.

Fig. 11: Three-year follow-up radiograph. The periapical area had healed.