Mary Chein, BDS, MSc(dent) and Rajiv Patel, BDS, DDS

 

MARY CHIEN, BDS, MSc(dent)
Private Practice
Hacienda Heights, CA

 

 

 

RAJIV PATEL, BDS, DDS
Private Practice
Lantana, TX 76226

 

eeth with subcrestal fractures, subgingival caries, resorptions or perforations in the cervical third of the roots are often condemned due to violation of biologic width. Crown lengthening procedure has traditionally been the treatment of choice to re-establish this sacred zone. However, if the margin is close to the osseous crest due to fracture or extensive caries and therefore resulting in excessive ostectomy that will compromise the adjacent teeth, surgical extrusion can be considered. Surgical extrusion involves controlled luxation and extrusion of the roots, it may be compared with extrusive luxation of teeth which has a comparably favorable prognosis with a low incidence of root resorption. It is time to re-emphasize this forgotten dimension of the treatment option.

Attendees will learn:

1. what is surgical extrusion?
2. Indications, case selection and armamentarium for surgical extrusion.
3. The biology and mechanics of surgical extrusion.
4. Consideration of risks.