Extract the infraoccluded 85, impacted 45 and 18,28. Instead of
attempting effective mandibular molar mesialisation in the third
quadrant, comprehensive orthodontic fixed appliance treatment can be
used to facilitate future autotransplantation of the 38 into the
congenitally missing 35 region.
- Rapid maxillary expansion (RME) to address the maxillary transverse
deficiency and correct the LHS posterior lingual crossbite
- The 38 did not demonstrate sufficient tooth development at the time of
the planned removal of the ankylosed 85 and impacted 45 to permit safe
autotransplantation under a single general anaesthetic
- Although future third molar autotransplantation would significantly
reduce the orthodontic tooth movement required in the third quadrant,
the autotransplantation procedure must be delayed until an ideal stage
of third molar root development is present (at approximately 18 years
of age)
- Although contemporary tooth autotransplantation techniques have a high
success rate, post-transplant complications are still possible