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Orthognathic treatment with autotransplantation of a third molar

Authors
 Sung-Hwan Choi  ;  Chung-Ju Hwang 
Citation
 AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS, Vol.144(5) : 737-747, 2013 
Journal Title
AMERICAN JOURNAL OF ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS
ISSN
 0889-5406 
Issue Date
2013
MeSH
Autografts ; Cephalometry/methods ; Chin/pathology ; Esthetics, Dental ; Facial Asymmetry/surgery ; Female ; Genioplasty/methods ; Humans ; Incisor/pathology ; Lip/pathology ; Malocclusion, Angle Class III/surgery ; Mandibular Osteotomy/methods ; Mastication/physiology ; Molar, Third/transplantation* ; Orthognathic Surgical Procedures/methods* ; Osteotomy, Le Fort/methods ; Patient Care Planning ; Prognathism/surgery ; Treatment Outcome ; Young Adult
Keywords
Autografts ; Cephalometry/methods ; Chin/pathology ; Esthetics, Dental ; Facial Asymmetry/surgery ; Female ; Genioplasty/methods ; Humans ; Incisor/pathology ; Lip/pathology ; Malocclusion, Angle Class III/surgery ; Mandibular Osteotomy/methods ; Mastication/physiology ; Molar, Third/transplantation* ; Orthognathic Surgical Procedures/methods* ; Osteotomy, Le Fort/methods ; Patient Care Planning ; Prognathism/surgery ; Treatment Outcome ; Young Adult
Abstract
Autotransplantation is an option for tooth replacement when a suitable tooth is available and anatomic circumstances are favorable. This case report describes successful orthognathic treatment that was combined with autotransplantation of a maxillary third molar. A 20-year-old woman had mandibular protrusion and facial asymmetry. Five years previously, her mandibular right first molar had been extracted because of dental caries. After preoperative orthodontic treatment, we performed a LeFort I procedure and a bilateral intraoral vertical ramus osteotomy to correct the patient's mandibular protrusion and facial asymmetry. During the postoperative orthodontic treatment, the maxillary left third molar was autotransplanted into the mandibular right first molar site. The total treatment period was 24 months. As a result of these therapeutic treatments, the patient's facial appearance was improved, and an implant was unnecessary. The autotransplanted tooth effectively supported the adjacent teeth and maintained her chewing ability.
Full Text
http://www.sciencedirect.com/science/article/pii/S0889540613006860
DOI
10.1016/j.ajodo.2012.12.013
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orthodontics (교정과학교실) > 1. Journal Papers
Yonsei Authors
Hwang, Chung Ju(황충주) ORCID logo https://orcid.org/0000-0003-3024-4551
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/88372
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