Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2024; 124(4): 97-104 | DOI: 10.51479/cspzl.2024.005

PATIENT-REPORTED OUTCOMES AND PROCEDURAL DIFFERENCES BETWEEN DENTAL IMPLANTS AND TOOTH AUTOTRANSPLANTATION

Marton J.^{1, 2}, Kovalský T.^{1, 2}, Pokorný Z.^{1, 2}

¹ Klinika zubního lékařství, Lékařská fakulta Univerzity Palackého v Olomouci

² Klinika zubního lékařství, Fakultní nemocnice Olomouc

Introduction and aim: For tooth loss in adult patients, treatment options include dental implants and autotransplantation of a tooth with complete root formation. This case report presents a patient’s experience undergoing both treatments – one tooth replaced with a dental implant and another with an autotransplanted third molar.
Case description: A 49-year-old patient, concerned about masticatory function loss after the extraction of four teeth on the right side, was referred for evaluation. Examination indicated that tooth 38 required extraction, offering the opportunity to replace tooth 17 with an autotransplanted tooth 28. Tooth 15 was replaced with a dental implant. The transplanted tooth required root canal treatment (RCT) and prosthetic crown modification. Patient-reported outcomes, acquired through a questionnaire, showed satisfaction with both procedures. The autotransplant allowed for a quicker functional recovery but involved more visits due to the necessity of RCT.

Conclusion: Individualized treatment planning must consider patient expectations and primary concerns. Autotransplantation is viable when a suitable donor tooth is available, but one must consider all steps including RCT and potential prosthodontic reconstruction. Dental implants are preferred when bone availability is sufficient.

Keywords: dental implant, tooth autotransplantation, patient-reported outcomes, tooth replacement

Received: August 30, 2024; Revised: October 27, 2024; Accepted: October 31, 2024; Prepublished online: November 27, 2024; Published: December 9, 2024  Show citation