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Autotransplantation of Bilateral Mandibular Third Molars-A Case Report

雙側下顎第三大臼齒自體齒移植-病例報告

摘要


自體齒移植術是一個經濟的治療方式,用以取代無法修補、治癒或是缺失的牙齒,惟須有適當的自體齒可供利用。本篇報告一位四十歲男性病患,因重度牙周病需拔除雙側上顎第二大臼齒,經利用其雙側下顎第三大臼齒來進行同步拔除與移植。治療後五年追蹤顯示移植齒,於臨床及放射線攝影檢查都有滿意及穩定的結果,在牙髓與牙周雙方面癒合良好且無病理性變化。因此只要經過審慎的評估,選擇理想的移植齒和受植區,自體齒移植術是一個可行的替代治療方式。

並列摘要


Autotransplantation, or autogenous tooth transplantation, is a feasible and economical treatment modality in replacing unrestorable, hopeless or missing tooth when a suitable donor tooth is available. This paper presents a successful case of bilateral autotransplantations from mandibular third molars to bilateral maxillary second molars. Five-year after treatment, the clinical and radiographic examinations of the transplanted teeth revealed satisfactory and stable outcome, with no pathologic change endodontically or periodontically. It is concluded that optimal selection of donor tooth and recipient site results in successful autotransplantation and may be considered as a treatment alternative to conventional or implant prosthetic rehabilitation.

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