Immediate post‐operative rehabilitation after decoronation. A systematic review

Abstract

Background/Aims Decoronation is currently considered the best treatment option for ankylosed teeth and discrepancies in the alveolar bone, particularly in childhood and adolescence. The loss of a front tooth creates aesthetic, functional, and psychological distress in patients and their parents. The aim of this study was to analyze the types of restorations provided after decoronation, their suitability, durability, and follow up until insertion of the final restoration. Materials and methods A literature review was conducted using Ovid MEDLINE, Embase, and Web of Science to identify eligible articles. English language publications until August 9, 2018, were searched independently and cross‐checked by two researchers online, in print, and in press. Results Of 618 articles screened, 10 included reports on 11 patients with detailed descriptions of 13 provisional restorations. Patients' ages at the time of decoronation were 8‐15 years. Seven underwent avulsion and four intrusion. Removable partial denture (nine cases) was the most common restoration. In two cases, the restoration was provisional with a lingual bar with prosthetic crown and in two other cases with an adhesive bridge. Follow up ranged from 3 months to 5 years in nine patients. Two cases were followed until the permanent restoration was placed. Conclusions The importance of long‐term provisional restorations was disregarded by most authors. A multidisciplinary approach should take into consideration immediate‐, mid‐, and long‐term rehabilitation of the decoronated tooth.

Flapless Decoronation: A Minimally Invasive Approach

“…Decoronation of infrapositioned ankylosed teeth is considered the gold standard treatment for young growing patients [26] and is a well-established, efficient, and predictable approach aimed at preserving the alveolar bone in children who are still facing facial growth in order to prevent bone deformations in cases of ankylotic teeth [16], while most alternative techniques, such as surgical luxation, orthodontic distraction, and auto-transplantation, have been associated with an unpredictable prognosis in ankylotic teeth [25].…”

The use of decoronation in cases of post-traumatic replacement resorption – a literature review

“…When choosing the type of restoration, several aspects should be taken into account, such as the patient's age, hygiene habits, growth rate, the degree of development of dental arches and whether orthodontic treatment is necessary. Publications have shown that a removable partial denture and an adhesive bridge using a cut-off crown are the most commonly used (17). This is probably due to the fact that both solutions are easier to apply in a dental office.…”

“…Ważne jest, aby u rosnących pacjentów, niezależnie od zastosowanego rozwiązania, zachować niewielką przestrzeń między szczytem wyrostka zębodołowego, pod którym jest pozostałość korzenia, a powierzchnią dodziąsłową korony, tak aby umożliwić pionowy wzrost kości wyrostka (17).…”

“…For growing patients, it is essential, regardless of a solution used, to maintain a small space between the apex of the alveolar process, under which there is a residual root, and the gingival surface of the crown to allow vertical growth of the alveolar process bone (17).…”

Observation of the clinical effect of immediate implantation and delayed implantation in the maxillary and maxillary molars

“…The treatment cycle of this program is very long. During the waiting period, alveolar bone will be absorbed in large quantities, which can cause gingival atrophy and affect the repair effect 6 . Immediate implantation is the treatment of implant placement after tooth extraction, which has the advantages of short treatment cycle and high safety.…”