Simultaneous auto-tooth transplantation of an impacted lateral incisor to the alveolar bone graft site

Secondary alveolar bone grafting (ABG) in cleft patients with a cleft alveolus provides stability to the maxillary arch. Occlusal anomalies accompanying the cleft, such as impacted and missing teeth pose a challenge. A 10-year-old girl with a right-sided cleft alveolus had her ipsilateral lateral incisor horizontally impacted. At the time of the ABG, the impacted lateral incisor was auto-transplanted followed by root canal treatment. Two years and eight months after treatment, the transplanted tooth was aesthetically and functionally stable. Secondary ABG with simultaneous auto-tooth transplantation is an option for alveolar cleft treatment, especially for severely malpositioned teeth with little scope for orthodontic alignment.