Autotransplantation of an impacted migrated mandibular canine using platelet-rich fibrin and physio-dispenser system: a report of two cases

Abstract

Canine impaction and migration is conventionally managed by fixed orthodontic treatment with surgical exposure; however this is not always possible, thus requiring clinicians to explore other treatment options. Autotransplantation of the tooth has been recognized as an alternative treatment option. This article reports on two cases where a migrated canine was asymptomatic, and accidentally diagnosed during routine examination. The procedure undertaken was autotransplantation of the canine using a physio-dispenser system and a platelet-rich fibrin (PRF) membrane to promote bone and soft tissue healing and regeneration. After a 2-year follow up, the autotransplanted canines showed no signs or symptoms of clinical or radiological failure. On radiographic examination, a patent periodontal ligament space was also appreciated. CPD/Clinical Relevance: Use of a physio-dispenser system and PRF during autotransplantation of a migrated and impacted canine may improve the clinical outcome.