Tooth transplantation - Leading Implant Centers

During a dental transplant, the oral surgeon transfers a tooth to another position of the jaw. Doctors also refer to transplantation or transmission in this context.

In dentistry, it involves the transplantation of teeth to close any gaps. Usually, the tooth transplantation comes from the patient's jaw. However, transplanting teeth from a donor is also possible in principle. Dental grafting can be done as well as the insertion of artificial dental implants at any age. The biological processes of implantation and healing are similar in both orthodontic treatment methods.

Overview of this article

Dental transplant - alternative to other treatment methods

Autogenous tooth transplantation is not a new invention of modern dentistry. Teeth were made many decades ago and even millennia ago among ancient Egyptians, Greeks, Romans and Etruscans. At the time, however, the autogenous tooth transplant was more common. That is, a missing or carious tooth has been replaced by an intact tooth from the mouth of a foreign donor.

Today, oral surgeons use autogenous tooth transplantation. For autogenous tooth transplantation: The donor is the recipient. This means that the oral surgeon transplants the patient's own teeth inside the jaw.

Today, tooth transplantation is of particular importance in the treatment of children and adolescents. This form of treatment serves as an alternative to the dental care with prostheses or implants as well as to orthodontic measures.

When is a tooth transplant useful and feasible?

Dentists recommend the transplantation of teeth especially in the case of non-placement or premature loss of permanent teeth. The reason for tooth loss of permanent teeth are diseases such as caries and periodontitis, as well as trauma. A special case are ankylosed children's teeth. In such a case, tooth root and bone are morbidly fused. In children, this can hinder the growth of the jawbone. In such cases, the maxillofacial surgeon will advise to transplant a tooth with intact rooting, since such a tooth stimulates jawbone and root growth.

How tooth transplants and the healing process of the periodontium and the dental pulp proceed is scientifically well documented today. Oral surgeons achieve particularly good results with the transplantation of wisdom teeth, deciduous teeth and premolars.

Much of the dental transplanting is done on children and adolescents. Since bone growth is not yet complete in this patient group, the chances of a successful healing process and ingrowth of the transplanted tooth are particularly high. In general, oral surgeons perform transplants of the teeth as well in older patients.

What are the conditions for a tooth transplant?

As with other surgical procedures in the jaw and mouth, there must be some preconditions for the transplantation of teeth. An exclusion criterion for the procedure are, for example, serious illnesses. If there is an increased tendency to bleeding or infection, the maxillofacial surgeon will consider carefully whether an intervention is useful and possible.

Diseases such as poorly controlled diabetes mellitus, an increased endocarditis risk, haemostasis disorders and hemophilia can also oppose the operation. Moreover, a periodontitis in advanced stages as well as inflammations at the sites where the tooth is to be removed or used speak in favor of a transplant. Before the operation takes place, the rest of the teeth have to be treated by dental care and the teeth have to be restored.

A dental transplant is associated with the following conditions:

Patient cooperation
Proper time for the procedure
A suitable size and shape transplant is available
Cheap relations in the jaw
Sufficient space
Soft tissue supply is sufficient
Parental consent in children and adolescents

What are the benefits and risks in a tooth transplant?

The advantages of tooth transplantation of one's own teeth include the good prognosis and the comparatively low costs. In contrast to dental implants, tooth transplants are also possible in children and adolescents. Bone growth can also be stimulated by transplanted teeth.

However, transplanted teeth are not suitable for every denture and are often more prone to tooth decay.

Advantages of tooth transplants

To close the gap, the oral surgeon uses unneeded teeth from the patient's jaw
Tooth transplants are also possible in children and adolescents
Neighboring teeth are not damaged (for example, by grinding as is necessary in the case of a dental bridge)

Risk factors for the failure of a tooth transplantation

Root resorption due to an infection
Ankylosis (ingrowth of dental hard tissue and bone with simultaneous loss of soft tissue)
Necrosis of the dental pulp
Invasive, cervical resorption

What should patients pay attention to after tooth transplantation?

The attending physician usually prescribes an anti-inflammatory drug to the patient. In addition, he advises his patient to cool the affected area to counteract swelling that may occur after surgery. Careful, adequate oral hygiene is a matter of course after such an intervention. Following the operation, the treating maxillofacial surgeon should check the transplant monthly to quarterly. Later, annual checks are sufficient.

Dental transplanting is a great way to replace lost teeth in a biological way. Dental transplanting gives you a good long-term prognosis, but it requires your cooperation. You need patience and to follow the rules of wound care or oral hygiene of the treating oral surgeon.

The oral surgeon himself will critically consider both the selection of appropriate patients and appropriate teeth and consider whether tooth transplantation is the right path. If you decide to have a tooth transplant or your child should be treated, look for an oral surgeon with experience.

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