Esthetic Substitution and Autotransplantation of Teeth in the Maxillary Anterior Region

In the context of congenitally absent or traumatically avulsed teeth in the maxillary anterior region of the dental arch of a preadolescent, the most efficient, enduring, timely, and cost-effective solution is one and the same: the use of natural dentition. In the previous 5 decades, extensive resources have been allocated to the study of autotransplantation procedures, which frequently reflect a high success rate. In addition, improvements in orthodontic positioning and restorations continue to enhance outcomes of dental substitutions. Various studies have reviewed treatment alternatives for individuals experiencing congenitally missing or traumatically lost maxillary anterior teeth; however, reports discussing both substitution and autotransplantation as viable treatment options in this region were not previously available. The methodology and necessary considerations pertaining to canine substitution for a maxillary lateral incisor, cuspid substitution for a premolar, lateral substitution for a maxillary central incisor, and autotransplantation of a mandibular premolar for a missing incisor are discussed in detail.