Autotransplanation of developing premolars to replace missing maxillary central incisors

Ewa Czochrowska

Keynote lecture - Saturday, May 21, 2022

About author:

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:

Traumatic loss of upper incisors in growing patients is the most important indication for the autotransplanation of teeth. Successful transplants not only provide a life-long tooth replacement but can also preserve the alveolar bone and promote bone regeneration in traumatised alveolar processes. However, tooth transplantation is a technique sensitive procedure and requires careful diagnosis and case selection, a good understanding of relevant tooth transplantation biological principles and careful execution of the optimal surgical and follow-up protocols. Developing premolars were documented to be the optimal donors with excellent long-term survival and success. However, if transplanted to anterior maxilla, their morphology clearly differs from the incisor’s morphology and subsequent reshaping using composite resins or porcelain veneers is needed for a satisfactory smile esthetics. In this case presentation the benefits and difficulties of this technique when applied to treat the traumatic loss of maxillary incisors will be discussed and summarized.


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