Tooth transplantation: a controversial story. Lecture given to The Scottish Society for the History of Medicine on 15 June 2002.
Miller H. Tooth transplantation. J Oral Surg. 1951; 9
Slagsvold O, Bjerke B. Autotransplantation of premolars with partly formed roots. A radiographic study of root growth. Am J Orthod. 1974; 66:355-366
Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU. Outcome of tooth transplantation: survival and success rates 17–41 years post-treatment. Am J Orthod Dentofacial Orthop. 2002; 121:110-119
Tsukiboshi M. Autotransplantation of Teeth.Tokyo: Quintessence; 2001
Paulsen HU, Andreasen JOl. Eruption of premolars subsequent to autotransplantation. A longitudinal radiographic study. Eur J Orthod. 1998; 20:45-55
Czochowska EM, Stenvik A, Album B, Zachrisson BU. Autotransplantation of premolars to replace maxillary incisors: a comparison with natural incisors. Am J Orthod Dentofacial Orthop. 2000; 118:592-600
Shargill I, Nandra S, Day P, Houghton N. Patient and parent satisfaction following autotransplantation and associated orthodontic treatment delivered by an interdisciplinary team. Eur Arch Paediatr Dent. 2014; 15:27-32
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
Denys D, Shahbazian M, Jacobs R Importance of root development in autotransplantations: a retrospective study of 137 teeth with a follow-up period varying from 1 week to 14 years. Eur J Orth. 2013; 35:680-688
Diaz JA, Jans GA, Zaror CE. Long-term evaluation and clinical outcomes of children with dental transplants in Temuco City, Chile. Eur J Paediatric Dent. 2014; 15:6-12
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Jonsson T, Sigurdsson TJ. Autotransplantation of premolars to premolar sites. A long-term follow-up study of 40 consecutive patients. Am J Orthod Dentofacial Orthop. 2004; 125:668-675
Josefsson E, Brattstrom V, Tegsjo U, Valerius-Olsson H. Treatment of lower second premolar agenesis by autotransplantation: four-year evaluation of eighty patients. Acta Odont Scand. 1999; 57:111-115
Kristerson L, Lagerstrom L. Autotransplantation of teeth in cases with agenesis or traumatic loss of maxillary incisors. Eur J Orthod. 1991; 13:486-492
Kugelberg R, Tegsjo U, Malmgren O. Autotransplantation of 45 teeth to the upper incisor region in adolescents. Swed Dent J. 1994; 18:165-172
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Tooth Autotransplantation Part 1: uses, indications and factors affecting success

From Volume 12, Issue 2, April 2019 | Pages 63-69


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

Zynab Jawad

Post-CCST Registrar in Orthodontics, Leeds Dental Institute

Articles by Zynab Jawad

Monty Duggal

Professor in Paediatric Dentistry, National University Health System, Singapore

Articles by Monty Duggal


Management of severe traumatic injuries and complex dental anomalies in children requires a holistic approach with planning for both short- and long-term eventualities. The goal is to provide biological treatment that maximizes the long-term dental health, appearance and function. Tooth autotransplantation is one potential solution for tooth replacement that is able to fulfil these aims. This series of four articles provides an overview of autotransplantation, including a description of the biological basis for the technique and factors affecting success. It will also provide an outline of the indications and the procedures involved for performing autotransplantation, including the interdisciplinary approach to treatment planning and management. This first article discusses the history of tooth transplantation, indications and the factors that can influence outcome.

CPD/Clinical Relevance: Orthodontists should be aware that tooth autotransplantation is a highly versatile technique with good success rates if used in favourable cases. This method should be considered part of the armamentarium for tooth replacement in a growing child.


Tooth transplantation is the controlled extraction and re-implantation of a donor tooth to a recipient site. Reports of tooth transplantation date back to the 16th century1 but, in these cases, teeth were usually taken from one person and transplanted to another, leading to problems with rejection due to poor knowledge of histocompatibility. Autotransplantation, also known as autologous tooth transplantation, was developed to overcome this problem by extracting and replanting a tooth or teeth within the same person. Autotransplantation was first reported in the 1950s in relation to impacted third molars but the outcomes were highly variable.2 Premolar autotransplantation into the premaxilla was initiated in the 1970s and remains the most popular technique.3,4 Subsequent advancements in the understanding of periodontal ligament healing mechanisms have contributed to the adoption of more atraumatic surgical techniques, with favourable outcomes.5

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