Exploring Autotransplantation Options for Tooth Loss in Taiwan - Dentistry

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Tooth Autotransplantation


Hello Dr.
Lin, I recently had my first premolar extracted due to periodontal disease, and I still have wisdom teeth and other excess teeth to remove.
Could you please recommend a dentist in Chiayi or Tainan who specializes in autologous tooth transplantation and comprehensive planning for tooth loss due to periodontal disease, including braces? I prefer not to have bridges or dentures, as I would need to have six healthy teeth ground down to accommodate nine dentures, which is quite daunting.
I'm also concerned about going to National Cheng Kung University and becoming a test subject without support.
Additionally, I cannot afford the out-of-pocket expenses for a major surgery that could cost between 300,000 to 400,000 NTD.
Currently, I am missing the upper left first premolar, upper right first premolar and second molar, lower left first and second molars, and lower right second molar.
I have a total of 24 healthy teeth.
Thank you.

xī, 30~39 year old female. Ask Date: 2005/09/11

Dr. Lin Qingye reply Dentistry


Hello Miss Hope: Autogenous tooth transplantation, if it meets the relevant criteria, can be better than self-funded dentures, but it must undergo professional consideration and evaluation.
If there is insufficient bone volume (common in patients with periodontal disease), it will require more time and money.
If you prefer not to grind down your teeth, you may consider: 1.
Removable dentures 2.
Dental implants (which are quite expensive).
Based on what you described, removable dentures should generally meet your needs, but it is still necessary to assess your oral condition in person.
TEL (06)6351131 ext.
2208

Reply Date: 2005/09/11

More Info


Exploring autotransplantation options for tooth loss can be a viable solution for individuals who wish to avoid traditional dentures or bridges, especially in cases where significant tooth structure would need to be sacrificed. Autotransplantation involves taking a tooth from one location in the mouth and relocating it to another site where a tooth has been lost. This method can be particularly beneficial for younger patients or those with healthy teeth that can be moved.

In your case, since you have recently lost a first premolar due to periodontal disease and are considering options for replacing multiple missing teeth, it is essential to consult with a dental specialist who has experience in autotransplantation and periodontal disease management. This procedure can be complex and requires careful planning and execution.


Finding a Specialist
In Taiwan, particularly in the Chiayi and Tainan areas, you may want to look for dental clinics or hospitals that specialize in periodontics and oral surgery. Universities with dental schools, such as National Cheng Kung University in Tainan, often have clinics where advanced procedures like autotransplantation are performed by experienced faculty members or supervised dental students. This can be a more affordable option compared to private clinics, as they may offer reduced fees for treatment.


Considerations for Autotransplantation
1. Eligibility: Not all teeth are suitable for transplantation. The donor tooth should ideally be healthy and free of decay or periodontal disease. The recipient site must also have adequate bone support and be free of infection.


2. Timing: The success of autotransplantation is often time-sensitive. Ideally, the procedure should be performed soon after the donor tooth is extracted to maintain the vitality of the tooth's periodontal ligament.

3. Post-Operative Care: After the procedure, careful monitoring and maintenance of oral hygiene are crucial to ensure the transplanted tooth integrates well into its new location.

4. Long-Term Success: Studies have shown that autotransplanted teeth can have a high success rate, especially when performed on younger patients. However, factors such as the health of the surrounding tissues and the patient's overall oral hygiene will significantly influence the long-term outcome.


Alternatives to Consider
If autotransplantation is not feasible, you may want to explore other options such as:
- Dental Implants: These are titanium posts surgically placed into the jawbone, serving as a foundation for replacement teeth. They do not require the alteration of adjacent teeth, making them a popular choice for many patients.

- Partial Dentures: While you mentioned a preference against dentures, modern partial dentures can be designed to be more comfortable and aesthetically pleasing than traditional options.

- Bridges: Although you expressed concerns about sacrificing healthy teeth, bridges can sometimes be a less invasive option compared to full dentures, especially if only a few teeth are missing.


Financial Considerations
Understanding the financial implications of dental procedures is crucial. Many dental practices offer payment plans or financing options to help manage the costs associated with treatments like implants or autotransplantation. It may also be beneficial to check if your dental insurance covers any part of these procedures.


Conclusion
In summary, autotransplantation can be a suitable option for replacing lost teeth, but it requires careful consideration and planning. I recommend seeking out dental specialists in Chiayi and Tainan who have experience with this procedure and can provide a comprehensive treatment plan tailored to your needs. Additionally, discussing all available options, including implants and bridges, will help you make an informed decision that aligns with your preferences and financial situation.

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