Fig. 1

Here is a pre operative radiography shows the extension of root caries in second molar and the tilted wisdom tooth.

Fig. 2

Extraction was done and wisdom tooth placed in the socket of second molar after slight surgical modification for the socket and patient was asked to bite in order to adjust occlusion.

And the tooth was fixated in new location using a semi rigid splint bonded to the first molar.

Fig. 3

2 weeks later RCT has been performed 

Fig. 4

And here is the complete bone formation distal to the transplanted molar after 4 months

Fig. 5

2 years later the tooth is healthy and in function and we have a happy patient.


Autotransplantation is a very predictable treatment modality that can serve as a viable option to replace a missing tooth, especially in young patients. Proper planning and careful execution of the procedure are important to achieve optimal long-term results.


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