Combing with root canal therapy, Auto Tooth Transplantation can be applied to adult patient. Without the limitation of vital pulp Auto Tooth Transplantation, it can be used on most of the adult mutilated dentition. Orthodontic tooth movement makes the transplant tooth mobile, while removed for translation with intact periodontal membrane increase the success rate of transplantation. Auto Tooth Transplantation can save important tooth in already partial edentulous patient. It is a very good orthodontic adjunct for saving patient's precious tooth.