Patel A, Burden DJ, Sandler J. Medical disorders and orthodontics. J Orthod. 2009; 36:(Suppl)1-21
Radiation Protection 172: Guidelines on CBCT for Dental and Maxillofacial Radiology (Evidence-based guidelines). 2011;
Andreasen JO, Paulsen HU, Yu Z, Bayer T, Schwartz O. A long-term study of 370 autotransplanted premolars. Part II. Tooth survival and pulp healing subsequent to transplantation. Eur J Orthod. 1990; 12:14-24
Kindelan SA, Day PF, Kindelan JD, Spencer JR, Duggal MS. Dental trauma: an overview of its influence on the management of orthodontic treatment. Part 1. J Orthod. 2008; 35:68-78
Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangellis AJ International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol. 2012; 28:88-96
Igarashi K, Mitani H, Adachi H, Shinoda H. Anchorage and retentive effects of a bisphosphonate (AHBuBP) on tooth movements in rats. Am J Orthod Dentofacial Orthop. 1994; 106:279-289
Spurrier SW, Hall SH, Joondeph DR, Shapiro PA, Riedel RA. A comparison of apical root resorption during orthodontic treatment in endodontically treated and vital teeth. Am J Orthod Dentofacial Orthop. 1990; 97:130-134
Levander E, Malmgren O. Evaluation of the risk of root resorption during orthodontic treatment: a study of upper incisors. Eur J Orthod. 1988; 10:30-38

Tooth autotransplantation 2: the interdisciplinary approach with emphasis on the orthodontic aspects

From Volume 12, Issue 3, July 2019 | Pages 98-105


Zynab Jawad

Post-CCST Registrar in Orthodontics, Leeds Dental Institute

Articles by Zynab Jawad

Sophy Barber

BDS, MJDF RSC(Eng), MSc, MOrth RCS(Ed), Post-CCST

Registrar in Orthodontics, Leeds Teaching Hospitals NHS Trust, St James's University Hospital, Beckett Street, Leeds, West Yorkshire, LS9 7TF, UK

Articles by Sophy Barber

Monty Duggal

Professor in Paediatric Dentistry, National University Health System, Singapore

Articles by Monty Duggal


Autotransplantation relies on successful interdisciplinary teamwork, utilizing the skills of each team member to optimize the outcome. During treatment planning, orthodontic input is required to determine whether orthodontic treatment is indicated and if a suitable donor tooth will be available. The orthodontist has a role in providing pre-surgical orthodontics to prepare the recipient site for the donor tooth and post-surgical orthodontics to correct the malocclusion fully and achieve the treatment goals. This article will outline the role of the interdisciplinary team members with an emphasis on the orthodontic aspects of treatment planning and the orthodontic treatment components of the autotransplantation pathway.

CPD/Clinical Relevance: Orthodontists have a key role in the autotransplantation team for both planning and provision of care. This article provides information for clinicians who wish to refer patients for autotransplantation or provide orthodontic care as part of the interdisciplinary team.


One of the most challenging aspects of orthodontic treatment planning and delivery is the replacement of missing or poor prognosis teeth in growing children. Tooth transplantation has many advantages in the growing child, but success depends on careful case selection and treatment planning by a team with appropriate skills.

To achieve an optimal outcome from autotransplantation, it is essential to involve clinicians from different specialties with specific skills. The potential roles of the various team members are outlined in Table 1, although this may vary between units. Both paediatric and restorative dentists may provide expertise in assessing poor prognosis teeth, recipient sites and donor teeth. Similarly, surgical procedures may be performed by paediatric dentists, restorative dentists or oral surgeons. The exact composition of the team should be developed to optimize skills to ensure an efficient care pathway with predictable outcomes. Within the team, the roles are defined to plan transfer of care at the appropriate time.

Register now to continue reading

Thank you for visiting Orthodontic Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available