Prosthetic-Driven Autotransplantation with the Assistance of Medical Image-Processing Software and a Real-Time Navigation System: A Case Report.

This article focuses on a case report demonstrating prosthetic-driven dental autotransplantation assisted by medical image-processing software and a real-time navigation system to enhance precision in recipient site preparation. The technique involves using cone-beam computed tomography (CBCT) data to create a 3D-printed replica of the donor tooth and employing dynamic navigation to guide osteotomy, minimizing bone overpreparation and preserving periodontal ligament (PDL) integrity. A 46-year-old patient underwent transplantation of a mandibular third molar to replace a compromised second molar, resulting in favorable short-term outcomes at six months, including bone fill, normal probing depths, physiological mobility, and satisfactory restoration. The report highlights that this approach may improve surgical accuracy and prosthetic outcomes, though longer-term studies are needed to confirm its clinical benefits.