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

Abstract

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.