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Manfred Leunisse

Manfred Leunisse

CV Manfred Leunisse

Manfred Leunisse finished his dental studies in 1987 at the Universiteit van Amsterdam. In 1989 he started his orthodontic post-graduate training at the ACTA in Amsterdam. He finished his post-graduate training in 1993. Since then he started his private practice as an orthodontist in Rotterdam. Besides treating orthodontic patients he gives post-graduate courses for dentists as well.
The last 18 years his field of interest shifted to the treatment of patients in an interdisciplinair team approach (Proclin) with dental colleagues, periodontogists, endodontologist, restorative dentists, oral surgeons and dental technicians. A corollary of this was that he asked Dick Barendregt in 2003 if he was willing to start doing tooth-transplantations for him. And the rest is history.
His fields of interest are dental traumata, tooth wear and congenitally dental anomalies.

Abstract

Autotransplantation, a viable option for patients of all ages

Manfred Leunisse, Edwin Eggink, Dick Barendregt, and Jacqueline Surtea

Autotransplantation is a widely used treatment option in the Scandinavian countries. The principle supporting the success of autotransplantation, is a vital periodontal ligament, as published over the last more than 50 years. This periodontal ligament provides a normal development of the surrounding tissues and adaptation to the natural growth of the patient. This in sharp contrast to dental implants, which fail to have these characteristics and are therefore not applicable for adolescents and young adults ór adult patient with a high remodeling rate.
In the past 20 years, due to the interdisciplinairy approach within the referral practice Proclin Rotterdam, comparable healing is achieved with autotransplantion of teeth with closed apices. When the proper guidelines are applied, closed apices turn out to be as successful as the open apices, on the short as well as on the long term. Factors like an optimal endodontic treatment (preferably before transplanting), early functional loading and infection control are the main parameters for success. Based on the clinical success, autotransplantation has become an indication for tooth replacement at all ages and, when applicable, preferrable over treatment with dental implants.

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