Tooth autotransplantation is the technique of transplanting embedded, impacted or erupted teeth from one site into another in the same individual. Compromised first permanent molars, congenitally missing teeth, impacted canines and traumatic tooth injuries all represent relatively common clinical dilemmas. Autotransplantation of teeth can provide unrivalled biological solutions in both the anterior and posterior regions of the dentition, particularly for adolescent patients. 

It is important to acknowledge that all clinical procedures have costs, risks, advantages and disadvantages. Trials, tribulations and failures will inevitably occur and autotransplantation may not necessarily represent the ideal option for every clinical dilemma. Interdisciplinary consultation and collaboration are vital for planning potential autotransplantation cases and to achieve the best possible outcomes.

Successful tooth autotransplantation in growing patients provides ongoing root development, maintains alveolar bone and periodontal health, and does not preclude future orthodontic tooth movement. The phenomenal value of autotransplantation for growing patients requires due recognition and appreciation, as this procedure permits cost-effective dental recycling and ideal rehabilitation using the most biocompatible material available, the patient’s own natural tooth.