Abstract
The present case report describes the long-term management of a case with bilateral cleft lip and palate. After surgical repositioning of the protruded premaxilla, root malformation was seen in the permanent incisor. After tooth transplantation and orthodontic treatment, a satisfactory occlusion without root resorption of the transplanted tooth was seen.
The patient was a boy aged 3 years and 7 months with the chief complaint of protruded maxillary teeth. Surgical repositioning of premaxilla was performed at 4 years and 9 months old and secondary alveolar bone graft was performed for both sides at 8 years and 8 months old. After surgical repositioning of the premaxilla root, malformation of the maxillary left central incisor was seen and the mandibular left first premolar was transplanted at 12 years and 4 months old. After orthodontic treatment by a multibracket appliance, retention was initiated from 15 years and 8 months old. After all these treatments, facial appearance was improved and an acceptable occlusion was obtained. There was no root resorption or mobility of the transplanted tooth at 11 years after the transplantation.
