Dr. Ewa Czochrowska graduated as a dentist from the Dental Faculty in Warsaw, Poland. She completed her postgraduate training in orthodontics at the University in Oslo, Norway in 1997, then she worked as a Research Fellow at the Department of Orthodontics, Faculty of Dentistry, in Oslo until 2002. From 2010 she is working part-time at the Department of Orthodontics, Medical University in Warsaw and has a private orthodontic practice in Warsaw.
In 2003, she was awarded a PhD from the University in Oslo for a thesis on autotransplantation of teeth. For the publication from this work she received from the American Journal of Orthodontics and Dentofacial Orthopedics the Dewel Orthodontic Award in 2002. In 2014 she was awarded a Habilitation in medical science from the Medical University in Warsaw on her work related to orthodontic treatment of patients with periodontitis and currently maintains a position as Associate Professor. Her current research is based on the outcome of tooth transplantation, tooth impaction and tooth agenesis and different aspects of interdisciplinary treatment.
Dr. Czochrowska was the President of the European Orthodontic Society and she hosted the EOS Congress in 2014 in Warsaw. She is the President of the Polish Orthodontic Society, Active Member of the Angle Society of Europe and Member of the European Board of Orthodontists.
KEYNOTE LECTURE: Management of missing maxillary incisors with tooth transplantation
Traumatic loss of a maxillary incisor in a growing patients is a challenging therapeutic problem, since possible solutions must consider the growth adaptation and life-long perspective. Traditional prosthodontic replacements, especially dental implants are generally contraindicated before cessation of growth. In children and adolescents with missing teeth, orthodontic space closure and transplantation of developing premolars are the preferred options, since they preserve the alveolar bone during growth and provide predictable long-term results.
Treatment planning for growing patients with missing teeth requires an comprehensive assessment of many aspects including type and number of missing teeth, space conditions, occlusion and profile, posttreatment stability and the patient’s expectations. The management of anterior tooth loss is particularly challenging because of the esthetic demands in this region and the need for immediate replacement. Important aspects of the interdisciplinary treatment planning in patients with missing maxillary incisors will be described during the lecture. It will include evaluation of a recipient site and the optimal donor tooth to obtain a successful healing, positioning of the transplanted tooth for a satisfactory esthetic outcome and final reshaping to the incisor’s morphology. Different clinical applications will be presented during the lecture.
Important aspect of the autotransplantation of developing teeth is their capacity for bone preservation and regeneration. The last part of the lecture will focus on patients with missing teeth and alveolar bone loss in whom re-establishment of the normal alveolar process was observed after transplantation.