Tooth autotransplantation following extraction of periodontally hopeless teeth in a periodontitis patient

This case report describes a 24-year-old woman affected by a severe and rapidly progressing form of periodontitis mainly involving the molars. Despite conventional periodontal therapy, two molars were considered hopeless and required extraction. As part of the rehabilitation plan, the patient's wisdom teeth were used as donor teeth and transplanted into the extraction sites through autogenous tooth transplantation (ATT). After 2 years of follow-up and regular supportive periodontal care, both transplanted teeth remained stable and functional, showing no signs of complications. Moreover, the patient's overall periodontal condition showed marked improvement. This case highlights that, in carefully selected patients, ATT can represent a viable alternative to conventional tooth replacement methods for managing advanced periodontitis.