# Long-Term Follow-Up of Multiple Autotransplantations Combined With Orthodontic Treatment After Traumatic Dental Injury: A Case Report

## TL;DR

This case report shows how autotransplantation combined with orthodontics successfully restored teeth damaged by trauma in an adult patient.

## Contribution

The paper presents a novel interdisciplinary approach using autotransplantation and orthodontics for dental trauma in adults.

## Key findings

- Autotransplantation successfully replaced damaged teeth with natural ones after endodontic treatment.
- Orthodontic treatment improved aesthetics and function by adjusting the bite and positioning transplanted teeth.
- The interdisciplinary approach achieved optimal results without dental implants or prostheses.

## Abstract

In this case report, we present the treatment of an adult patient who had experienced dental trauma resulting in the loss of one tooth and damage to two others. The patient was referred to our clinic 4 years after the accident, where a comprehensive examination revealed external root resorption and loss of supporting tissue. To address the patient's concerns, we developed an interdisciplinary treatment plan, which included orthodontic treatment to level the curve of Spee, reduce the deep bite, and extrude the affected teeth. After that, we extracted the damaged Teeth 2.1 and 2.2 due to their poor prognosis and replaced them with autotransplantation of Teeth 1.4 and 3.1. Before the procedure, both teeth underwent endodontic treatment, and 6 weeks later, they were built up to aesthetically and functionally replace the lost teeth. Additionally, postautotransplantation orthodontic treatment was conducted to close the donor site space and bring the autotransplanted teeth to an ideal position. The interdisciplinary approach and successful treatment of this case suggest that autotransplantation can be a valid option for restoring compromised teeth, especially in adult patients who require orthodontic treatment. In conclusion, autotransplantation offers multiple benefits, including preserving the natural dentition, avoiding the use of dental implants or prostheses, and achieving excellent aesthetic and functional results. Furthermore, this case underscores the importance of individualized treatment planning and collaboration among dental specialists to achieve optimal outcomes for patients.