scholarly journals Forceful Orthodontic Extrusion of Maxillary Canine in an Adult Patient: A Case Report

2018 ◽  
Vol 06 (01) ◽  
pp. 037-039
Author(s):  
Suruchi Jatol-Tekade ◽  
Satyajit Tekade ◽  
Kush Pathak ◽  
Vishal Patni
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Treatment Modalities ◽  
Case Discussion ◽  
Maxillary Canine ◽  
Tooth Structure ◽  
Gingival Margin ◽  
Orthodontic Extrusion ◽  
Crown Lengthening

AbstractLoss of tooth structure in the esthetic region is a big challenge for restorative dentist as it not only involves the establishment of tooth structure but also complies microesthetics. If the tooth structure is lost near the gingival margin, then the periodontal aspect cannot be overlooked. Surgical crown lengthening and orthodontic extrusion of the remaining tooth structure are two possible treatment modalities for such cases. Which one is best suited depends on the indications for each procedure. This study reports an orthodontic extrusion for the restoration of fractured upper canine. Preference of crown lengthening by orthodontic extrusion over surgical crown lengthening is clarified along the case discussion.

scholarly journals Restoration Made Possible with Forced Orthodontic Eruption of Endodontically Treated Unrestorable Tooth: A Case Report

2011 ◽  
Vol 1 (1) ◽  
pp. 60-62
Author(s):  
Sandhya Shrestha ◽  
Rabindra M Shrestha ◽  
Marisha Dahal
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Tooth Surface ◽  
Tooth Structure ◽  
Orthodontic Extrusion ◽  
Forced Eruption ◽  
Crown Lengthening

Post endodontic restoration in cases of grossly destructed teeth are difficult as the available tooth structure is less, margins are subgingival and of compromised prognosis because the restoration might encroach upon the periodontium affecting its status to deteriorate. Interdisciplinary approach using forced eruption or Orthodontic extrusion along with minimal surgical crown lengthening can give adequate supragingival tooth surface for proper restoration and protect its root support from getting violated. This is the case report of an unsalvageable tooth that is restored to satisfactory functional and esthetic restoration utilizing interdisciplinary approach.

scholarly journals Restoring the unrestorable! Developing coronal tooth tissue with a minimally invasive surgical extrusion technique

BDJ ◽  
2019 ◽  
Vol 226 (10) ◽  
pp. 789-793 ◽  
Author(s):  
Thomas Dietrich ◽  
Ralf Krug ◽  
Gabriel Krastl ◽  
Phillip L. Tomson
Keyword(s):  
Minimally Invasive ◽  
Traumatic Injury ◽  
Tooth Structure ◽  
Advantages And Disadvantages ◽  
Minimally Invasive Surgical ◽  
Novel Approach ◽  
Alternative Approaches ◽  
Orthodontic Extrusion ◽  
Tooth Tissue ◽  
Crown Lengthening

Abstract Surgical extrusion is a recognised treatment option for teeth that have insufficient coronal tooth structure remaining due to deep caries, resorption or traumatic injury. However, the technique has not been widely adopted, arguably because extraction of a severely compromised tooth may be difficult to achieve in a gentle and predictable way. In this paper, we present our novel approach to surgical extrusion and subsequent management of teeth using a vertical extraction system (Benex), which has become the method of choice in the authors' practice for many teeth that would otherwise be deemed unrestorable. We describe the clinical procedure in detail and discuss the advantages and disadvantages compared to alternative approaches, including surgical crown lengthening and orthodontic extrusion.

scholarly journals Dental Extrusion with Orthodontic Miniscrew Anchorage: A Case Report Describing a Modified Method

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Ricardo Fidos Horliana ◽  
Anna Carolina Ratto Tempestini Horliana ◽  
Alexandre do Vale Wuo ◽  
Flávio Eduardo Guillin Perez ◽  
Jorge Abrão
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Orthodontic Appliances ◽  
Skeletal Anchorage ◽  
Modified Method ◽  
Orthodontic Wire ◽  
Tooth Extrusion ◽  
Orthodontic Extrusion ◽  
Crown Lengthening

In recent years, the skeletal anchorage through miniscrews has expanded the treatment options in orthodontics (Yamaguchi et al., 2012). We hereby present a modified method for tooth extrusion for cases where crown-lengthening surgery is contraindicated for aesthetic reasons. This modified method uses three orthodontic appliances: a mini-implant, an orthodontic wire, and a bracket. The aim of this case report was to increase the length of the clinical crown of a fractured tooth (tooth 23) by means of an orthodontic extrusion with the modified method of Roth and Diedrich.

scholarly journals Crown Lengthening Procedure: Report of Two Cases

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2926-2931
Author(s):  
Deepika Masurkar ◽  
Priyanka Jaiswal ◽  
Diksha Agrawal
Keyword(s):  
Case Report ◽  
Root Structure ◽  
Tooth Structure ◽  
Crown Length ◽  
Operative Complications ◽  
Biologic Width ◽  
Forced Eruption ◽  
Crown Lengthening ◽  
Root Location ◽  
Selection Of

Crown lengthening is a surgical procedure designed to increase the extent of the supragingival tooth structure, so that the clinician can restore the tooth. Crown lengthening procedure is done to maintain normal biologic width and increase crown length for retention of prosthesis. Various techniques have been proposed to perform CLP, such as gingivectomy, undisplaced flap with or without osseous reduction, apically repositioned flap with or without bone reduction, and orthodontic forced eruption with or without fibrotomy. Selection of one of this CLP technique depends upon esthetics, clinical ratio of crown to root, structure of root, location of furcation, position of tooth and the capacity of the tooth to be restored. This case report illustrate two different methods of doing crown lengthening procedure the selection of case depends upon various soft tissue and hard tissue parameters. Owing to the various advantages, disadvantages and associated limitation with different methods, we opted for surgical CLP with scalpel method. Uneventful healing was observed in both our cases. No post-operative complications was observed in both cases. Thus to conclude success rate of CLP is high but appropriate selection of case is required. In our case report both the methods of CLP shows significant result in increasing the crown length and maintaining the biological width.

scholarly journals Achieving Better Function through Combining Orthodontics and Restorative Dentistry in the Case of Dental Abrasions

2019 ◽  
Vol 2019 ◽  
pp. 1-5 ◽  
Author(s):  
Laís C. Giacobbo ◽  
Lara Karolina Guimarães ◽  
Isabelle Adad Fornazari ◽  
Eduardo Monteiro Meda ◽  
Orlando Motohiro Tanaka
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Orthodontic Treatment ◽  
Tooth Wear ◽  
Restorative Dentistry ◽  
Maxillary Canine ◽  
Functional Rehabilitation ◽  
Fixed Appliance ◽  
Posterior Crossbite

This case report describes the orthodontic treatment used to prepare for restorative dentistry, aimed at the functional rehabilitation of an adult patient with Class I malocclusion, right posterior crossbite, and significant tooth wear on the palatal face of the maxillary canine to canine. The orthodontic treatment was performed with a total fixed appliance mini-expandex-type expander, associated with vertical elastics. Good dental intercuspation was obtained and enabled conditions for the restoration of the abrasions on the palatal surfaces of the maxillary incisors and canines and the tips of the buccal cusps of the maxillary right premolars and first molar. Excellent results were found during a 37-month follow-up.

scholarly journals Surgical Extrusion of a Complete Crown Fractured Tooth: A Case Report

2011 ◽  
Vol 1 (2) ◽  
pp. 70 ◽  
Author(s):  
Senem Yiğit Özer ◽  
İbrahim Uysal ◽  
Emrullah Bahşi
Keyword(s):  
Case Report ◽  
Native Speakers ◽  
Good Alternative ◽  
Incisor Tooth ◽  
Dental Injury ◽  
Tooth Structure ◽  
Native Speakers Of English ◽  
One Year ◽  
Short Time ◽  
Crown Lengthening

Complete crown fracture is a dental injury affecting enamel, dentin, and pulp and unfortunately crown is lost usually due to loss of tooth structure. Root-crown lengthening can be performed if an acceptable root-crown ratio is preserved for the retention of root. This paper presents a case report of a mandibular canine incisor tooth having complete crown fracture. Root-crown lengthening is performed by surgical extrusion of the root coronally, splintted using a semi-rigid splint and prognosis was successful after one year later. Treatment of complete crown fracture by surgical extrusion and splintting may be a good alternative for general practitioners since it is an easy and short time requiring technique necessiating less equipments.  How to cite this article: Yiğit Özer S, Uysal İ, Bahşi E. Surgical Extrusion of a Complete Crown Fractured Tooth: A Case Report. Int Dent Res 2011;2:70-74. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Esthetic Dentistry in Patients with Bilaterally Missing Maxillary Lateral Incisors: A Multidisciplinary Case Report

2013 ◽  
Vol 14 (2) ◽  
pp. 348-354 ◽  
Author(s):  
KV Baburam Reddy ◽  
CH Hanumantha Rao ◽  
Bhaskar Mummidi ◽  
A Laxmi Prasanna ◽  
M Vijay ◽  
...  
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Treatment Modalities ◽  
Planning Problem ◽  
Tooth Structure ◽  
Space Closure ◽  
Treatment Plans ◽  
Esthetic Dentistry ◽  
Congenitally Missing ◽  
Single Implant

ABSTRACT Congenitally missing maxillary lateral incisors pose a difficult esthetic and treatment planning problem for clinicians. Age, location, space limitations, alveolar ridge deficiencies, uneven gingival margins, occlusion and periodontal factors often necessitate an interdisciplinary approach. Over the last several decades, dentistry has focused various treatment modalities for replacement of missing teeth. Treatment plans for patients with missing maxillary lateral incisors have traditionally included either space closure or space reopening. To remove healthy tooth structure of adjacent teeth to replace a tooth, for some patients and dentists, is a very aggressive treatment option which eliminates the option of three unit bridges. Removable partial dentures are also not preferred for its bulkiness and reduced esthetics. Presently, the single implant supported crown is a predictable method of tooth replacement in adolescents. The aim of this case report is to provide a conservative method for the management of bilateral missing lateral incisor. How to cite this article Mummidi B, Rao CHH, Prasanna AL, Vijay M, Reddy KVB, Raju MAKV. Esthetic Dentistry in Patients with Bilaterally Missing Maxillary Lateral Incisors: A Multidisciplinary Case Report. J Contemp Dent Pract 2013;14(2):348-354.

scholarly journals Multidisciplinary Approach in the Rehabilitation of Complicated Crown-root Fracture: A Case Report

2014 ◽  
Vol 4 (2) ◽  
pp. 51-55
Author(s):  
Nisha Acharya ◽  
Praveen Singh Samant ◽  
Vanita Gautam ◽  
Ourvind Singh ◽  
Hemanta Halwai
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Fracture Line ◽  
Dental Practice ◽  
Root Fracture ◽  
Traumatic Injuries ◽  
Tooth Structure ◽  
Crown Root ◽  
Anterior Teeth ◽  
Orthodontic Extrusion

The management of patients with traumatic injuries to their dentition poses a serious challenge in everyday general dental practice. For the rehabilitation of the complicated subgingival crown fracture of anterior teeth, multidisciplinary approach is often indicated. A combination of endodontic, orthodontic, periodontal and prosthodontic approach may be required. Orthodontic or periodontal intervention becomes an integral part for the exposure of the sound tooth structure of fractured anterior teeth with fracture line extending subgingivally. The aim of this paper is to discuss the immediate endodontic management followed by orthodontic extrusion of traumatized upper anterior teeth with fracture at the subgingival level. In order to expose the sound tooth structure for prosthodonticintervention, orthodontic extrusion was performed after endodontic treatment. To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was esthetically pleasant and periodontically sound. 

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