Autotransplant Possible? Unerupted Wisdom Tooth to Fractured 1st Molar? (photo)

Question

My lower left 1st Molar is fractured with RCT completed & is likely to be either extracted or crowned. My friend (not a dentist) suggested an alternative treatment plan: Q) Could my lower left unerupted wisdom tooth be removed & auto transplanted to take the place of my 1st molar?

Donald L. Wilcox, DDS · Answer

From your xray the position of the wisdom tooth would not allow removal in one piece unless you sacrificed #31 most likely which makes no sense.   If #30 can be fixed with a crown that would be your first choice.  Otherwise replace it with an implant and let the wisdom rest in peace!

Anthony J. Rega, DDS · Answer

Your idea is great, but your too late.  Tooth transplantation can easily be done, but has come out of favor due to dental implants.  The problem for you is that your third molar is completely formed.  Tooth transplantation only works when the wisdom tooth is 1/2 to 3/4 formed.

Peter Mann, DDS · Answer

Hey KenC,

	That's a very interesting question. I've performed several of these as a fellow. I've only performed the procedure in 12-14 year old children. The literature suggests the success rate is significantly higher in children. Plus we cannot place implants in kids. That being said, it's not something I'd attempt in an adult.  A dental implant is a great solution. Its simple and predictable.  Good Luck1

Kevin Coughlin, DMD · Answer

In most cases it will fail I suggest extraction of #30 and move 31 and 32 forward with orthodontics better option higher success rate good luck

	 

	 

	Kevin Coughlin DMD, MBA, MAGD     CEO Baystate Dental PC

Tamara Rojas, DMD · Answer

Just looking at the radiograph provided.  I would say that your third molar position is not favorable for extraction.  It is a mesial horizontal impaction and is usually cut into multiple pieces for removal.  As such the tooth could not be moved to an alternative postition because it needs to be removed in pieces.

Autotransplant Possible? Unerupted Wisdom Tooth to Fractured 1st Molar? (photo)

Answers (6)

Answer: Transplant tooth?

Answer: Transplant tooth?

Answer: Board Certified Periodontist

Answer: Board Certified Periodontist

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Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.

Autotransplant Possible? Unerupted Wisdom Tooth to Fractured 1st Molar? (photo)

Answers (6)

Answer: Transplant tooth?

Answer: Transplant tooth?

Answer: Board Certified Periodontist

Answer: Board Certified Periodontist

Browse related questions

Recommended reading

Everything you need to know about Dental Implants

Our mission is to create a world where every investment in modern beauty is Worth It.