Autotransplanted tooth with bone fenestration treated like an implant

Dr. Francesco Giachi Carrù, Prof. Tiziano Testori
Initial situation

A male patient (16 years old) show a superior cuspid unrecoverable with traditional orthodontic treatment

Used biomaterials
  • Gen-Os®
CBCT pre-op – Superior cuspid unrecoverable with traditional orthodontic treatment

CBCT pre-op – Superior cuspid unrecoverable with traditional orthodontic treatment

Orthodontic treatment in order to create the correct space

Orthodontic treatment in order to create the correct space

CBCT rendering showing canine position

CBCT rendering showing canine position

CBCT rendering showing simulation of autotransplant position

CBCT rendering showing simulation of autotransplant position

Atraumatic esposition of the canine

Atraumatic esposition of the canine

Complete surgical esposition in order to proceed with the extraction

Complete surgical esposition in order to proceed with the extraction

Atraumatic extraction and vestibular cortical preservation

Atraumatic extraction and vestibular cortical preservation

Osteotomy conducted with piezosurgery in order to create a surgical alveolus

Osteotomy conducted with piezosurgery in order to create a surgical alveolus

Canine extracted with preservation of the follicle on 3 out 4 part around the root

Canine extracted with preservation of the follicle on 3 out 4 part around the root

Canine positioning after surgical alveolus design

Canine positioning after surgical alveolus design

Bone reconstruction with fully resorbable collagenated biomaterial – vestibular view

Bone reconstruction with fully resorbable collagenated biomaterial – vestibular view

Bone reconstruction with fully resorbable collagenated biomaterial – occlusal view

Bone reconstruction with fully resorbable collagenated biomaterial – occlusal view

Graft protection with L-PRF membranes

Graft protection with L-PRF membranes

Splinting post surgical autotransplant

Splinting post surgical autotransplant

3-year follow-up CBCT showing bone remodeling and new bone formation on the vestibular cortical plate

3-year follow-up CBCT showing bone remodeling and new bone formation on the vestibular cortical plate

3-year follow up

3-year follow up

5-year follow up

5-year follow up

Used biomaterials
genos
Gen-Os®
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