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.
Similar Q&A
Does Health Insurance Cover Autologous Dental Implants in Taiwan?
Hello, doctor. I would like to ask if there is insurance coverage for autologous dental implants? Can I extract my wisdom teeth to fill the space where I previously had a dental bridge?
Dr. Wu Jinjun reply Dentistry
Hello: How many surgical fees are covered by health insurance for autologous tooth transplantation? Can wisdom teeth be used to fill the gap for a dental bridge? It depends on the condition of the wisdom teeth, and a dentist must conduct an actual examination and review X-rays to...[Read More] Does Health Insurance Cover Autologous Dental Implants in Taiwan?
Recommendations for Alveolar Bone Surgery and Dental Implants in Northern Taiwan
Hello Doctor, my front tooth was severely decayed and has been extracted for some time (replaced with a temporary crown). Recently, I am considering getting a permanent fixed prosthesis, but my dentist informed me that due to excessive tooth loss on the left side, I need to under...
Dr. Zhu Guanyu reply Dentistry
Hello, odontogenic infections can occur due to dental caries or other soft tissue injuries, allowing bacteria to invade directly, leading to chronic inflammation of the jawbone or facial bones. In severe cases, this can result in sepsis, which can be life-threatening. If it is lo...[Read More] Recommendations for Alveolar Bone Surgery and Dental Implants in Northern Taiwan
Essential Questions About Dental Treatments and Procedures
Dear Dr. Huang, I have a few questions regarding dental treatment. 1) I am currently considering dental implant surgery for a tooth. The doctor informed me that I need to have blood drawn for "bone grafting." After the tooth extraction, my own cells are considered th...
Dr. Huang Zhicheng reply Dentistry
Dear Ms. Lin: The technique you referred to as "blood extraction for bone regeneration" involves drawing 8-10 cc of blood, which is then subjected to layered centrifugation to produce a high concentration of platelets. This is similar to the regenerative membranes used ...[Read More] Essential Questions About Dental Treatments and Procedures
Oral Surgery Issues: Finding Treatment Options in Taiwan
Supernumerary teeth and oral foreign bodies (tumors?? granulation tissue??) are generally recommended to be treated by oral surgery. However, I haven't seen any oral surgery departments in the regional hospitals in Taoyuan. Does this mean I can only seek treatment in Taipei ...
Dr. Huang Zhicheng reply Dentistry
Hello, based on the symptoms you described, since I cannot see the actual condition, I recommend visiting a hospital with an oral surgeon. St. Paul’s Hospital in Taoyuan, Taoyuan Chang Gung Memorial Hospital, and Linkou Chang Gung Memorial Hospital all have oral surgery departmen...[Read More] Oral Surgery Issues: Finding Treatment Options in Taiwan
Related FAQ
(Dentistry)
Losing Baby Teeth(Dentistry)
Apicoectomy(Dentistry)
Periodontal Disease(Dentistry)
Tooth Extraction(Dentistry)
Post-Wisdom Tooth Surgery(Dentistry)
Dental Bridge(Dentistry)
Oral Ulcer(Dentistry)
Tooth Alignment(Dentistry)
Retained Tooth(Dentistry)