Producción científica2024· Australian Endodontic Journal
Guided tooth autotransplantation of a palatally impacted maxillary canine into the site of a failed maxillary canine implant
Q3Impact Factor · 1.164
AutoresJesús Moreno-Pérez, David Rubio Flores, Carlos Fernández Villares, Venkateshbabu Nagendrababu, Francesc Abella Sans
Por qué importa
Este caso clínico detalla el autotrasplante dental guiado de un canino superior impactado palatinamente, sustituyendo un implante maxilar fallido. El procedimiento se realizó en una paciente con un implante móvil y signos de pérdida ósea periimplantaria. Tras la extracción del implante, se reposicionó el canino retenido mediante una técnica guiada, seguida de alineación ortodóncica. Se realizó un seguimiento exhaustivo a lo largo de 48 meses, evidenciando la ausencia de sintomatología y de patología periapical o reabsorción radicular en los controles radiográficos. Este enfoque ofrece una alternativa terapéutica para casos complejos de implantes fallidos en zonas estéticas, integrando cirugía, implantología y ortodoncia.
The aim of this report is to demonstrate the guided tooth autotransplantation of a palatally impacted maxillary canine into the site of a failed maxillary canine dental implant. A 47-year-old woman visited a dental clinic complaining of loose dental implant in the left maxillary canine site, tooth #11, as well as pain and swelling of the gum around the implant. The clinical examination revealed a mobile implant along with swollen soft tissues with bleeding on probing. A periapical radiograph demonstrated peri-implant marginal bone loss. Cone beam computed tomography sections revealed that tooth #11 was impacted palatally. The implant was removed and replaced with the impacted canine via guided autotransplantation and posterior orthodontic alignment. The patient was recalled at 1, 3, 6, 9, 12, 24 and 48 months after the procedure. During this period, the patient was symptom-free and radiographic examination at 2 years revealed no periapical pathosis or root resorption.
Moreno-Pérez J, Flores DR, Villares CF, Nagendrababu V, Sans FA. Guided tooth autotransplantation of a palatally impacted maxillary canine into the site of a failed maxillary canine implant. Australian Endodontic Journal. 2024. doi:10.1111/aej.12840
