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This simplified technique whereby third molar transplants are placed into the new host sockets without any form of immobilization has been successful in all of the thirty-seven procedures performed in our clinic. Of course, in treating a younger age group, where there may not be much root formation, it would be necessary to suture the gingiva over the transplant for immobilization and to prevent rotation of the transplanted tooth.
This simplified transplantation method brings autogenous dental transplantation into the realm of routine office procedure. It permits the replacement of second molars and of first molars whether or not second molars are present.
Although it is agreed that the first molar is the most important molar, one must consider that a single second molar is much more difficult to replace prosthetically. The second molar also lends itself to more possibilities for replacement by transplantation, since the mesiodistal dimensions of the third molar crown need not be a factor. More complicated third molar impactions, such as horizontal impactions, can be removed unsectioned after the nonrestorable second molar has been extracted.
A case in which a successful triple transplantation procedure was carried out has been presented. This included the replacement of a mandibular right second molar by a maxillary left third molar.
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- Autogenous Transplantation of a Partially Formed Tooth.Oral Surg., Oral Med. & Oral Path. 1956; 9: 71
- Autogenous Transplants.Oral Surg., Oral Med. & Oral Path. 1956; 9: 76
- Transplantation and Reimplantation of Teeth.Oral Surg., Oral Med. & Oral Path. 1956; 9: 84
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☆The views expressed herein are those of the author and do not necessarily reflect the views of the Air University, the United States Air Force, or the Department of Defense.
© 1967 Published by Elsevier Inc.