Atraumatic surgical extrusion using periotome in esthetic zone: A case series

Mohan, Kumar P; Ravindra, Reddy N; D, Roopa; Kishore, Kumar K

doi:10.4103/0972-0707.108213

Cited by 12 publications

(4 citation statements)

References 13 publications

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“…However, these procedures are not without biological complications, including encroachment of the supracrestal tissue attachment (formerly biological width) compromising periodontal health, soft tissue relapse, a reduced crown-to-root ratio, loss of sound tooth structure owing to occlusal reduction of already compromised worn teeth – also resulting in insufficient retention and resistance for conventional extra-coronal restorations, and exposure of furcation and root dentine surfaces, which might invoke the unpleasant sensation of hypersensitivity if the tooth had been vital. 10,11…”

Section: Discussionmentioning

confidence: 99%

Evidence-based clinical management of localised tooth wear and a repeatedly dislodged posterior crown utilising the Dahl Concept

Ong,

Blum

2024

Prim Dent J

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This clinical case report demonstrates the use of the Dahl Concept in the management of the repeated dislodgement of a posterior full coverage crown associated with a reduced restorative space. The described technique harnesses the addition of resin composite and a temporarily cemented provisional full coverage crown to create sufficient restorative space for the cementation of a definitive posterior full coverage crown restoration at the six-month review.

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Section: Discussionmentioning

confidence: 99%

Evidence-based clinical management of localised tooth wear and a repeatedly dislodged posterior crown utilising the Dahl Concept

Ong,

Blum

2024

Prim Dent J

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“…Multiple approaches exist for managing CRF: gingivectomy, apically positioned flap surgery, surgical or orthodontic extrusion, and extraction for extensive root involvement. However, these methods have limitations, particularly in esthetic zones [5] . Surgical extrusion, also referred to as intra-alveolar transplantation or intentional implantation, was initially introduced 24 years ago as a crown lengthening technique for CRF [6] .…”

Section: Introductionmentioning

confidence: 99%

Novel approach: Surgical extrusion in complex dental cases: A case report

Bhansali,

Indurkar,

Jadhav

2024

Int. J. Appl. Dent. Sci.

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In a case involving a 24-year-old patient referred to the periodontology department for a crown lengthening procedure, the history revealed a tooth fracture resulting from trauma. Clinical evaluation highlighted a lateral incisor fractured at the interdental papilla level, having undergone prior root canal treatment. The patient exhibited sound general health with no medical concerns or surgical contraindications. Upon thorough clinical and radiographic assessments, appropriate candidates were selected for clinical crown lengthening. This report documents a surgical extrusion technique applied to manage the fractured lateral incisor. The procedure aimed to enhance the clinical crown length, allowing for adequate restoration of the affected tooth. Surgical extrusion involved carefully creating intentional mobility around the tooth's furcation area, enabling controlled orthodontic movement. Gradual extrusion brought the tooth to the desired occlusal level, ensuring optimal positioning for subsequent restorative measures. Post-procedural follow-ups at regular intervals revealed favorable outcomes. The patient remained asymptomatic, demonstrating robust periodontal health and restored functionality of the tooth. There were no reported complications or adverse findings during the follow-up period, affirming the success and stability of the surgical extrusion approach. This case emphasizes the efficacy of surgical extrusion in managing fractured teeth, particularly when coupled with appropriate restorative interventions. The procedure facilitated the restoration of the affected tooth to its functional and aesthetic integrity, underscoring its significance as an effective treatment modality for challenging dental scenarios involving traumatic injuries and crown length discrepancies.

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“…Several modalities for the management of CRF are available: gingivectomy, apically positioned flap surgery, surgical extrusion, orthodontic extrusion and extraction when the fracture include more than a third of the root. 4 , 9 , 10 However, all these treatment modalities have some limitations especially when the esthetic zones are involved.…”

Section: Introductionmentioning

confidence: 99%

Surgical extrusion: A reliable alternative for saving fractured anterior teeth

Grira

Mahjoubi

Chebil

et al. 2021

SAGE Open Medical Case Reports

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Crown-lengthening procedures are necessary to rehabilitate supracrestal insertion tissue and to guarantee a suitable dental restoration. The objective of this article was to report a surgical extrusion procedure as a treatment option for a fractured anterior tooth. A 24-year-old male patient presented to our department to rehabilitate his maxillary right lateral incisor. The tooth was fractured due to a trauma and presented a healthy periodontium. Endodontic treatment was performed before the surgical extrusion. A fixed crown was cemented after complete reduction of tooth mobility after 6 months. No complication was observed at 6 months post-operatively. A minimally traumatic surgical extrusion technique provided highly successful results in both functional and esthetic aspects, especially in the anterior region, where the latter is of great interest.

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Atraumatic surgical extrusion using periotome in esthetic zone: A case series

Cited by 12 publications

References 13 publications

Evidence-based clinical management of localised tooth wear and a repeatedly dislodged posterior crown utilising the Dahl Concept

Evidence-based clinical management of localised tooth wear and a repeatedly dislodged posterior crown utilising the Dahl Concept

Novel approach: Surgical extrusion in complex dental cases: A case report

Surgical extrusion: A reliable alternative for saving fractured anterior teeth

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