Immediate autotransplantation of a mandibular premolar with complete roots to a fractured tooth site, using platelet‑rich fibrin in an orthodontic patient, report of a case

Abstract

Transplantation of one tooth to another site in the same individual can be considered an attractive
alternative to dental implants or fixed prostheses. This study reports the treatment results of a
16‑year‑old female with severe crowding in upper and lower arches and a fractured mandibular
premolar with a poor prognosis. The crowding of the lower left quadrant was relieved by the
extraction of the first premolar. This extracted tooth with a complete root was transplanted to the
right quadrant with the fractured tooth. Platelet‑rich fibrin can stimulate and accelerate periodontal
healing. The platelet concentrate of this patient was prepared and applied to the socket wall at the
time of surgery. The acceptable occlusion and the excellent 4‑year prognosis of the transplanted
tooth are presented.
Key Words: Autologous, platelet‑rich fibrin, tooth fracture, transplantation