Protocol for autotransplantation of developing teeth

Pawel Plakwicz, Ewa Monika Czochrowska

Keynote lecture - Friday, May 20, 2022

About authors:

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).

Ewa Czochrowska - Graduated as a dentist from the Dental Faculty in Warsaw, Poland. She finished a postgraduate training in orthodontics at the University in Oslo, Norway in 1997 then worked as a Research Fellow at the Orthodontic Department, Dental Faculty in Oslo until 2002. In 2003 she was awarded a PhD from the University in Oslo for a thesis on autotransplantation of teeth. For the publication from this work she received the American Journal of Orthodontics and Dentofacial Orthopedics Dewel Orthodontic Award in 2002. In 2014 she was awarded a habilitation in medical science from the Medical University in Warsaw on her work related to orthodontic treatment of patients with periodontitis.
Dr Czochrowska was the President of the European Orthodontic Society and she host the EOS Congress in 2014 in Warsaw. She is the President of the Polish Orthodontic Society and the Active Member of the Angle Society of Europe and the European Board of Orthodontists. She has organized 2 international congresses on tooth transplantation in 2016 and 2018. Received Distinguish Teacher Award from the European Orthodontic Society for 2020. At present in private practice in Warsaw and is working at the Department of Orthodontics, Medical University in Warsaw, Poland.
Dr Czochrowska has authored and coauthored 10 book chapters and 50 scientific articles. She has lectured extensively worldwide on tooth transplantation and orthodontic treatment in patients with periodontal diseases.


Abstract of the lecture:

Autotransplantation of teeth before the root is fully formed is an established treatment option for replacing missing teeth in growing individuals. Favorable orthodontic indications, good surgical access and optimal match between the donor tooth and the recipient site are prerequisites for a successful outcome. Premolars with developing roots due to their morphology and position in the dental arch are optimal donors with success reported over 90 per cent. The protocol for transplantation of developing teeth was established at the University in Oslo more than four decades ago and has been successfully applied in Poland since 2000.

The key elements described in the protocol for autotransplanation of developing teeth include:

  • description of the best stages of root development in relation to the alveolar bone morphology at the recipient site and presentation of existing scientific evidence
  • surgical planning regarding the morphology of the donor and recipient site with the use of CBCT in treatment planning
  • pre-surgical orthodontic treatment
  • description of the surgical technique in main orthodontic indications
  • follow-up with a description of signs of success and failure
  • post-surgical orthodontic treatment in relation to the root development of the transplant


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