Dental Autotransplantation or Immediate Single Implant for the Replacement of a Hopeless Molar.

Dental autotransplantation has high levels of success in permanent teeth with open apex. The results of success in permanent teeth with closed apex are somewhat lower but sufficient to consider the treatment as a viable alternative and to extend the therapeutic range of the treatment to older ages.

The aim of this prospective observational investigation is to evaluate the dimensional and attachment changes that occur in the treated areas and in the autotransplanted teeth respectively of adult patients with permanent teeth with closed apex. All adult patients receiving a dental autotransplantation between the years 2022 and 2023 will be included.

Pre-treatment, volume and insertion parameters will be recorded before and one year after treatment. The comparison with the extraction and dental implant treatment will be made using the digital records that are usually obtained during the performance of this treatment. The comparison will be made with the same number of patients who have been recruited for the dental autotransplant treatment, and the volumetric changes that occur will also be analyzed.

The volume comparisons will be carried out using the Medit Link digital measurement software (Medit, Seoul, Republic of Korea) and data will be obtained and analyzed statistically in order to draw the appropriate conclusions.

Inclusion criteria

• Patients in ASA-I health status
• Aged between 18 and 80 years,
• Present a tooth in need of extraction with a mature candidate donor tooth compatible with the recipient bed
• Acceptance of proposed treatment of dental autotransplantation

Exclusion criteria

• Unavailability of a candidate donor tooth
• Refusal of proposed treatment of dental autotransplantation