Surgical extrusion: A reliable technique for saving compromised teeth. A 5-years follow-up case report

• Main Authors: Argueta, J. (Author), Orellana, A. (Author), Plotino, G. (Author)
• Format: Article
• Language: English
• Published: Masson SpA 2018
• Subjects: adult; Article; Biologic width; case report; central incisor; chlorhexidine; clinical article; Crown fracture; crown lengthening; Crown lengthening; disease severity; esthetics; female; follow up; human; maxillary lateral incisor; postoperative period; preoperative evaluation; radiography; splinting; surgical extrusion; Surgical extrusion; Surgical repositioning; surgical technique; tooth cement; tooth fracture; tooth injury; tooth root; tooth root canal
• Online Access: View Fulltext in Publisher

 Aim: To present a long term follow up clinical case in which a compromised anterior tooth was saved by a surgical extrusion procedure. Although different techniques have been suggested for clinical crown lengthening in the anterior zone, some of them have limitations in terms of aesthetics and procedural requirements. The current case report demonstrates how a simplified surgical extrusion procedure was successfully performed for saving a severely damaged anterior tooth; furthermore, it is possible to apply the technique described in this case using minimum and simple armamentarium like a scalpel, elevators, forceps and splinting flexible cord. Key-learning points: Saving severely compromised anterior teeth is possible by applying surgical extrusion techniques when crown-root ratio allows it. Risk of root resorption or ankylosis is minimum. © 2018 Società Italiana di Endodonzia