Autotransplantation of premolars in children with congenitally absent teeth: a report of three cases


Three cases are presented in which autotransplantation of teeth was used as part of an orthodontic treatment plan. This treatment option is commonly overlooked when patients present with congenitally absent teeth.


Autotransplantation of teeth is a well-established and predictable procedure, which is occasionally indicated but is often overlooked. When teeth are absent in growing patients, autotransplantation should be considered if a healthy tooth is to be extracted elsewhere in the mouth and if there is enough bone available at the edentulous site to accommodate it. A transplanted tooth will continue to erupt and will stimulate localised alveolar development. Transplanted teeth can be moved orthodontically and their long-term survival rate compares well with any other form of tooth replacement. Three cases are presented here where the author transplanted premolar teeth and subsequently moved these as part of an orthodontic treatment plan.

Journal of the Irish Dental Association 2018; 64 (3): 145-151

Dr Don Ryan

Corresponding author: Dr Don Ryan, Wexford Orthodontics, 26 Henrietta Street, Wexford and 16a Esmonde Street, Gorey, Co. Wexford. T: 053-912 1161 E: