Autotransplantation of teeth (ATT) is a promising approach that offers a blend of aesthetic, functional and economic benefits for patients with missing or compromised teeth. However, this therapy may be overlooked as a viable option for tooth replacement. In this interview with Dental Tribune International, ROOTS SUMMIT 2024 speaker Dr Mitsuhiro Tsukiboshi, a pioneering figure in dental traumatology and tooth transplantation, delves into the nuances of ATT, addresses common misconceptions and explores possible advancements in treatment fuelled by technological developments.