Article: Volume 13 Number 2 Page 78 - April 2020

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  Orth Update 2020; 13: 78-86

Orthodontics:  Tooth Autotransplantation Part 4: Alternative Treatment Options

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Abstract: Tooth autotransplantation is a versatile and successful technique if used in suitable cases; however, it is not always the optimal treatment choice. This article will explore alternative treatment strategies for managing failing or missing teeth, including methods for managing the bone, orthodontic options and techniques for tooth replacement. These methods may be considered as an adjunct to tooth transplantation, or an alternative, if transplantation is not deemed appropriate. Indications for alternative treatments are discussed with illustrations from treated cases.

Clinical relevance: A number of approaches are available for managing failing or missing teeth and are dependent on the clinical situation. It is important for dental specialists to understand these options and to work collaboratively to determine the best option for patients on an individual basis.

Author notes: Sophy Barber, BDS, MJDF(RCS Eng), MSc, MOrth(RCS Ed), Post-CCST Registrar in Orthodontics, Leeds Dental Institute, Ahmed Al-Khayatt, BChD, MFDS(RCS Ed), FDS(Rest Dent) RCPS(Glasgow), FDS RCS(Rest Dent), Consultant in Restorative Dentistry and Oral/Facial Rehabilitation and Nadine Houghton, BDS, MFDS, MDSci, MOrth(RCS Eng), FDS Orth(RCS Eng), Consultant Orthodontist, Bradford Teaching Hospitals Foundation Trust, UK.

Objective: To discuss the alternative treatment options to tooth transplantation for managing missing or failing teeth.