Trans-alveolar autotransplantation of ectopic teeth

Paweł Plakwicz

Keynote lecture - Saturday, May 21, 2022

About author:

Paweł Plakwicz graduated from the Dental Faculty, Medical University of Warsaw in 1994. Between 1995-2003 he was an assistant lecturer at the Department of Oral Surgery at the same university. He completed postgraduate training in autotransplantation of teeth at the University of Oslo, Norway in 2000. In 2001, he qualified as a specialist in Oral Surgery and in 2009 defended his PhD cum laude for his thesis: “Autotransplantation of teeth in growing patients”. Since 2009 he has worked at the Department of Periodontology, Medical University of Warsaw. In 2015 he gained his second PhD with habilitation for series of publication under the title: “Periodontal assessment of the treatment outcomes of autotransplantation of developing teeth in growing patients”. In 2017 he received his MFDS ad eundem from the Royal College of Surgeons of England.
His main research interests are in the treatment of growing patients with missing teeth or with eruption disturbances, teeth autotransplantation and mucogingival surgery. He authored and co-authored over 50 scientific articles. He is a co-author of Principles and Techniques of Premolar Auto-transplantation in a book published in 2016 by Wiley Blackwell: Recognizing and Correcting Developing Malocclusions: A Problem Oriented Approaches in Orthodontics.
In 1996, he established a private practice in Warsaw, focused on oral and periodontal surgery. Since his training in Oslo, he has performed and followed-up more than 500 of autotransplantated teeth. Dr. Plakwicz lectures and conducts courses nationally and internationally in Europe (Austria, Czech Republic, Estonia, Finland, Greece, Netherlands, Norway, Spain, Italy, Sweden, Switzerland, United Kingdom), Egypt, Saudi Arabia and in the United States (where he was appointed Adjunct Professor at the UNC in Chapel Hill, NC in 2019).


Abstract of the lecture:

Autotransplantation has become a well-established treatment option to replace missing teeth in growing patients. Gentle removal of the developing donor tooth seems to be the most important prognostic factor for normal healing after transplantation. For this reason, in case of ectopic position of the donor tooth, transplantation is not always possible immediately or even ever. In most cases the surgical access to the ectopic tooth is limited and makes the surgery unpredictable. Equally often the recipient site is too narrow to accommodate the transplant. Thus, in selected cases pre-surgical orthodontic treatment is often necessary to expand adequate space between neighboring teeth and to create conditions required for gentle surgery. Developing ectopic premolars and canines are the most common types of teeth which may be transplanted from their ectopic position to normal place in the dental arch, however attempts to transplant developing ectopic incisors or mature canines are also being made. The lecture will present the current treatment methods for ectopic teeth with an emphasis on autotransplantation, its predictability and long-term outcomes. Examples of the treatment will be presented and their outcomes will be discussed in relation to the success criteria and available studies.


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