Resumen de Upper third molar autotransplant to replace a superior first molar: about a clinical case

Luis Sánchez-Labrador Martínez de Morentin, Begoña Domínguez Marsal, Jorge Cortés-Bretón Brinkman, Cristina Barona Dorado, José María Martínez González

• Introduction: The development of dental implants has led to lower frequency of autotransplants, despite their high success rates and being a therapeutic alternative that allows the realization of natural, functional and aesthetic rehabilitations.

  Clinical case: we present the case of a 28-year-old male who came for consultation due to the presence of some radicular remains located on the left upper first molar. A dental autotransplant was carried out, the donor tooth being the third upper left molar, which was transplanted to the alveolus of the first molar, showing good clinical and diagnostic evolution.

  Discussion: There are different therapeutic alternatives to replace missing teeth, within which autotransplants are found, with high success rates in teeth with open and closed apex. The most frequently transplanted teeth are the third molars, as shown in the present case, suggesting as one more option, that professionals and patients should take into account.

  Conclusions: Although autotransplants have more limited indications, they have a lower cost for patients, and a simpler restoration for the professional. In addition, they sustain micromovements, achieving occlusion harmony in relation to the adjacent teeth, presenting a high success rate.