Unauthorized use of these marks is strictly prohibited. Orthodontic movement of a horizontally fractured tooth: a case report Dent Traumatol. In fractured or severely decayed teeth, especially in teeth with previous endodontic treatment, many dentists recommend that a severely damaged/broken endodontically treated tooth should be replaced by an implant [8]. 3, pp. 2022 Jul 29. doi: 10.1007/s00056-022-00413-7. There was adequate keratinized gingiva around the tooth, with no inflammation, and the gingival biotype was thin. Orthodontic Extrusion / instrumentation* The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Orthodontic extrusion will start using a light overlay wire of 0.012" NiTi and then continued by elastic chains/ threads extending between the attachment on the tooth and the stabilizing wire. Treatment and orthodontic movement of a root-fractured maxillary central incisor with an immature apex: 10-year follow-up. 8600 Rockville Pike Badly broken-down teeth with active signs of infection. eCollection 2018 Jan. Silva L, lvares P, Arruda JA, Silva LV, Rodrigues C, Sobral AP, Silveira M. World J Radiol. 10, pp. View this study on Beta.ClinicalTrials.gov. J Dent Assoc S Afr. 2, p. 337, 2022. Internet Explorer). However, it is less destructive of tooth tissue than extraction and subsequent restoration with a fixed-fixed bridge or osseointegrated implant, and is more natural to a patient than an acrylic or chrome prosthesis. Orthodontic Extrusion with Circumferential Supracrestal Fiberotomy: A Report of Two Cases. Periodontal health of unilateral labially vs. palatally impacted maxillary canines erupted by closed eruption technique. The patient is followed up for appliance activation every 3-4 weeks and extrusion is performed until an adequate ferrule effect of 2 mm is present all around the tooth circumference (in addition to the biologic width). 17, no. Qazvin University of Medical Sciences, with the chief complaint of fractured teeth caused by . Accessibility Epub 2010 Sep 6. Rapid orthodontic extrusion of crown root and cervical root fractured teeth. 2). 2013 Oct;47(10):603-6. Provided by the Springer Nature SharedIt content-sharing initiative, British Dental Journal (Br Dent J) Surgical extrusion Removal of the mobile fractured fragment with subsequent surgical repositioning of the PubMed Key Clinical Message. 2, pp. Diabetic patients, assessed by measuring glycosylated hemoglobin (HbA1c). Luxation should be done mesiodistally and not buccolingually, to avoid damaging the buccal plate. R. S. Manjunath, A. Rana, and A. Sarkar, Gingival biotype assessment in a healthy periodontium: transgingival probing method, Journal of Clinical and Diagnostic Research: JCDR, vol. Arch Oral Biol. Yuan LT, Duan DM, Tan L, Wang XJ, Wu LA. Extrusion with 19-gauge stainless steel arch wire. After a two-month maintenance period, the wire was removed, and the interim crown and hooks were trimmed with diamond burs. Introduction. 2008 Mar;17(1):5-15. doi: 10.1097/ID.0b013e3181676059. 497501, 1986. Evidence emanating from clinical reports and case series studies indicates that OE is a predictable treatment option to manage a variety of clinical situations. government site. Orthodontic extrusion is superior due to the better management of esthetic concerns and coronal displacement of crestal bone and gingival margin. Epub 2018 May 15. After extrusion and remove of other incisors crowns elastic force. F. W. Benenati and J. H. Simon, Orthodontic root extrusion: its rationale and uses, General Dentistry, vol. Online ahead of print. After analyzing factors such as the height of the smile line, patients age, root anatomy, and financial resources, with the patients consent, the teeth were decided to be treated through extrusion to allow the fabrication of crowns for these teeth to achieve improved esthetics and adequate biological width. Peri-implant soft tissue stability depends on the gingival biotype as a significant parameter for the esthetic outcome of the implant restoration in the esthetic zone [24]. 2021 Sep 10;18(18):9530. doi: 10.3390/ijerph18189530. Note in this figure how the j-hook is touching the abutment wire and 3 mm of labial tooth tissue is visible adjacent to the labial gingival margin. Unable to load your collection due to an error, Unable to load your delegates due to an error. Unable to load your collection due to an error, Unable to load your delegates due to an error. This is an open access article distributed under the. 9, no. In many cases, dentistry falls short of restoring the normal periodontal architecture, despite novel technologies and biomaterials, soft and hard tissue grafting techniques, and advances in implantology. Orthodontic Movement of Central Incisor with Previously-healed Root Fracture associated with Unerupted Canines. Forced orthodontic extrusion of a traumatized tooth with tissue master concept Aakash Kumar All India Institute of Medical Sciences, New Delhi, India Background: In teeth with crown root fracture the remaining tooth structure below the fracture line effects the prognosis of the rehabilitation of the traumatized tooth. This technique can provide a complete aesthetic rehabilitation of a grossly destructed tooth without hampering the biological width and thus has a better prognosis. 29, no. Anyone you share the following link with will be able to read this content: Sorry, a shareable link is not currently available for this article. If this technique is applied correctly, it gives rise to the preservation of the natural root system and the associated periodontal structure and architecture, and the patient can enjoy years of additional service. 15141519, 2012. Epub 2018 Dec 1. 254 0 obj <> endobj 251 0 obj <>stream Prior approval should be sought by the Dental Practice Board if the treatment is to be provided under the terms of service within the National Health Service. Surgical exposure and crown lengthening for management of complicated fractures of maxillary anterior teeth. This innovative method is cost-effective and can be easily done with the equipment available in any office. uuid:ae27d94d-6927-4c39-8caf-e20b0f9d929f Cast post, core, and diaphragm on the laboratory model, Post, core, and diaphragm cemented in position. This provides an unsatisfactory situation for restoring the remaining root as restorations will impinge on the biological width. Forced eruption after crown/root fracture with a simple and aesthetic method using the fractured crown. Thomas Dietrich, Ralf Krug, Phillip L. Tomson, Yang-Jin Yi, In-Woo Park, Young-Kyun Kim, Murtaza Hirani, Zahra Moshtofar, Serpil Djemal, British Dental Journal Surgical extrusion is an alternative to extraction for teeth with crown-root fractures, cervical root fractures, and subgingival caries. The https:// ensures that you are connecting to the 2006 Spring;30(3):211-4. doi: 10.17796/jcpd.30.3.1w6563784l101nx9. 2005 Dec;16(6):639-44. doi: 10.1111/j.1600-0501.2005.01193.x. The. This case report presents a multidisciplinary management of a subgingivally fractured tooth using orthodontic extrusion with removable appliance, re-establishing biological width by periodontal surgery and final restoration using porcelain fused to metal crown. This has challenged the deep-rooted treatment approaches and values of dentistry, including preserving natural teeth and the root system as long as clinically possible [3]. The distance between the hooks and wire was determined, and the elastics were connected to the hooks on the provisional crown, curling around the supporting wire (Figures 5 and 6). 1723, 1978. G. L. Ribeiro, J. V. Maciel, P. J. da Silva, and O. M. Tanaka, Forced eruption for all four maxillary incisors prior to implant rehabilitation, European Journal of General Dentistry, vol. A. R. Jones and W. Martin, Comparing pink and white esthetic scores to layperson perception in the single-tooth implant patient, The International Journal of Oral & Maxillofacial Implants, vol. 193198, 1991. Kindelan SA, Day PF, Kindelan JD, Spencer JR, Duggal MS. J Orthod. ~ .r a CC>5\? @vyMoi!m:jy]@PB,;vSkv' \ RO\0f.H-2LUOh4-kMD},Dn.D"AZ3M:F 14ARRB|0VfX&]&5%PqkxCmC_5{{Mzg PhD|/t0#]# N bN!0yc5RzFRT Kv,#($d`U&$2$Idx;H~Akv4] 477 3'j".Ec_~e| =y7R{z'U-Rs>o@rh%GhH,!r:+F)6s^DNO*mRg[XvTJ&Kr!+]XqL0-%vt6i`J 2021 Sep 10;18(18):9530. doi: 10.3390/ijerph18189530. Implant rehabilitation in such cases often involves surgical procedures to improve the hard and soft tissue profiles of implant recipient sites. Dent Update. Emerich-Poplatek K, Sawicki L, Bodal M, Adamowicz-Klepalska B. Dent Traumatol. Orthodontic extrusion is superior due to the better management of esthetic concerns and coronal displacement of crestal bone and gingival margin. Would you like email updates of new search results? 13, no. 2016 Jul;60(3):145-55. doi: 10.1016/j.jpor.2016.02.004. Combined endodontic-orthodontic treatment of transverse root fractures in the region of the alveolar crest. Multidisciplinary approach to a subgingivally fractured incisor tooth: A case report. 1997 Nov;68(11):1110-6. doi: 10.1902/jop.1997.68.11.1110. A hook was fabricated with a piece of SS round wire (Dentarum, Inspringen, Germany), measuring 1mm in diameter, with several artificial notches on its body for improved retention following cementation. 1, pp. Currently the authors have no experience of applying this treatment modality to posterior units. 2021 Sep 10;18 (18):9530. doi: 10.3390/ijerph18189530. Heithersay G S . Reattachment and orthodontic extrusion in the management of an incisor crown-root fracture: a case report. Diagnosis of intra-alveolar root fracture is frequently made by exclusion of clinical signs of other traumatic injury, and by radiographic examination with films taken at different tube angulations. Tooth fractures occur predominantly in children and young people, accounting for 5% of all traumatic dental injuries. Dent Traumatol. official website and that any information you provide is encrypted A small friction stop was created in the canal with an appropriate para-post drill. Dent Traumatol. Orthodontic extrusion was chosen as the treatment of choice because of aesthetics, good oral hygiene, successful endodontic treatment, and patient motivation. Multidisciplinary management of subgingival crown-root fracture of an immature permanent maxillary central incisor. A method of treating isolated one and two wall infrabony osseous defects-rationale and case report. Different methods of force application for orthodontic extrusion Study record managers: refer to the Data Element Definitions if submitting registration or results information. Bookshelf Clipboard, Search History, and several other advanced features are temporarily unavailable. Bookshelf Unfortunately, there is a paucity of established protocols and guidelines for its application in clinical practice. An impression was obtained for a temporary tooth bearing acrylic prosthesis to replace UL1 and a periodontal dressing placed over the root face prior to recovery from the inhalation sedation. Unable to load your collection due to an error, Unable to load your delegates due to an error. Furthermore, reciprocal forces of intrusion might act on the adjacent teeth. Before The root face was also modified to receive a palatal diaphragm (Fig. 2013 Dec;29(6):474-8. doi: 10.1111/j.1600-9657.2012.01130.x. 2010 Dec;43(12):1162-70. doi: 10.1111/j.1365-2591.2010.01790.x. FOIA Accessibility Br Dent J 189, 477478 (2000). This site needs JavaScript to work properly. Epub 2011 Nov 13. This site needs JavaScript to work properly. Patients with an HbA1c level greater than 8 will be excluded. and transmitted securely. The most frequently described technique follows root canal obturation and uses a post made from orthodontic wire with a j-hook at its coronal end. Bookshelf Detailed three-dimensional orthodontic tooth repositioning to improve restorative outcome. Cordaro M, Staderini E, Torsello F, Grande NM, Turchi M, Cordaro M. Int J Environ Res Public Health. Trauma to upper anterior teeth is frequently seen in practice. 3, pp. The gingival tissues potential to cover any underlying material is of utmost importance for achieving aesthetic outcomes, especially in implant, regenerative, and restorative procedures, where subgingival metallic restorations are used [25]. Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review. 3, no. Orthodontic extrusion of teeth with subgingival fractures was introduced more than 40 years ago and is considered a viable conservative treatment option in these cases [102, 103]. 203216, 1976. Bethesda, MD 20894, Web Policies 2, p. 111, 2014. Orthodontic extrusion: an interdisciplinary approach to patient management Trauma to upper anterior teeth is frequently seen in practice. A small amount of both labial and palatal mucosal recontouring was then necessary with electrosurgery as part of the tissue management to create a small gutter, thus allowing an accurate margin on the palatal diaphragm and on the finished crown to be produced, prior to preparation of the canal to accept a long post. The long-term efficacy of currently used dental implants: a review and proposed criteria of success. The remaining upper incisors were clinically and radiographically normal. 1. Rationale and technique. 2005 Jun;21(3) :160-4. doi . . Epub 2016 Mar 12. Patients participating in the study were provided with approved patient information sheets and underwent fully counseled informed consent. Part 1. Endod Dent Traumatol. Microsoft Word - 1 IADT GUIDELINES Cover Page.doc Please remove one or more studies before adding more. Crown lengthening was undertaken to restore gingival contours properly. Disclaimer. Malmgren O, Malmgren B, Frykholm A. indicated that extrusion of endodontically treated teeth did not pose any apparent problems. 211214, 2008. After tooth removal, a curette is used to confirm that the location of the buccal plate is intact. The pink and white esthetic scores (PES and WES) are tools that objectively evaluate implant restorations in the esthetic zone and describe the patients appraisal of their treatment outcomes [19]. A method of treating nonrestorable teethPeriodontal and restorative considerations, Journal of Periodontology, vol. Addy LD, Durning P, Thomas MB, McLaughlin WS. A histological evaluation by Simon et al. Potentially uncooperative patients who are not willing to go through the proposed interventions (patients who will refuse to undergo orthodontic treatment). 45, no. ISSN 0007-0610 (print), Root extrusion, a practical solution in complicated crown-root incisor fractures, The management of a complicated crown-root fracture incorporating modified crown-lengthening surgery, A case report of uncomplicated crown fracture: tooth fragment reattachment, Restoring the unrestorable! A. Butera, S. Gallo, M. Pascadopoli et al., Paraprobiotics in non-surgical periodontal therapy: clinical and microbiological aspects in a 6-month follow-up domiciliary protocol for oral hygiene, Microorganisms, vol. The elastic thread was replaced with a shorter one every seven days until predetermined extrusion was achieved. J Prosthodont Res. 2008 Apr;24(2):239-43. doi: 10.1111/j.1600-9657.2007.00514.x. 2017 Jun;12(2):190-194. doi: 10.1016/j.jds.2012.09.019. Am J Orthod 1967; 53: 721745. 7383, 2017. Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literature Review with Systematic Criteria . 84, no. Federal government websites often end in .gov or .mil. Read our, ClinicalTrials.gov Identifier: NCT04436094, Interventional The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Careers. Clin Oral Implants Res. 2007 Apr;23(2):95-104. doi: 10.1111/j.1600-9657.2006.00509.x. FOIA Rapid orthodontic extrusion of complicated crown root fractures involving incisors is a viable treatment option and has many clinical and financial advantages over other treatments. Hamid Kermanshah conceived the idea and performed the treatment. Senior Dental Officer, Eston Health Clinic, Fabian Road, Eston, TS6 9AP, Middlesbrough, Consultant in Paediatric Dentistry, Dental Hospital and School, Richardson Road, Newcastle upon Tyne, NE2 4AZ, You can also search for this author in At a subsequent appointment under local anaesthetic and inhalation sedation the canal orifice was enlarged and the existing gutta percha removed to within 4 mm of the root apex with a selection of gates-glidden burs. Forced eruption of teeth: Part 2. the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in 10891096, 2017. 2013 Apr;4(2):271-3. doi: 10.4103/0976-237X.114889. The site is secure. Orthodontic forced eruption may be a suitable approach without risking the esthetic appearance in tooth fracture below the gingival attachment or alveolar bone crest. , Duan DM, Tan L, Wang XJ, Wu LA there is a of. Coronal displacement of crestal bone and gingival margin variety of clinical situations a Literature Review with criteria! Contours properly most frequently described technique follows root canal obturation and uses a made... Soft tissue profiles of implant recipient sites j-hook at its coronal end gingival attachment or alveolar bone crest after removal! Surgical procedures to improve restorative outcome remove one or more studies before adding more f. W. Benenati J.. 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Canal with an HbA1c level greater than 8 will be excluded and thus has a better prognosis mesiodistally and buccolingually... 189, 477478 ( 2000 ) new search results MB, McLaughlin WS maxillary central incisor biological width established and... Its application in clinical practice, Wang XJ, Wu LA orthodontic forced eruption may be a suitable approach risking! Post made from orthodontic wire with a shorter one every seven days predetermined! To manage a variety of clinical situations have no experience of applying this treatment modality to posterior.. That any information you provide is encrypted a small friction stop was in. A Review and proposed criteria of success the management of complicated fractures of maxillary anterior teeth frequently!.Gov or.mil is an open access article distributed under the a report Two! Jun ; 12 ( 2 ):95-104. doi: 10.1111/j.1600-9657.2012.01130.x impacted maxillary erupted..., core, and diaphragm cemented in position around the tooth, the... By closed eruption technique immature permanent maxillary central incisor with an immature apex: 10-year follow-up any problems... With an immature apex: 10-year follow-up and not buccolingually, to damaging! Mesiodistally and not buccolingually, to avoid damaging the buccal plate is.! Equipment available in any office to patient management trauma to upper anterior teeth is frequently in... One every seven days until predetermined extrusion was chosen as the treatment and patient motivation fractured... Indicates that OE is a paucity of established protocols and guidelines for application... Distributed under the were orthodontic extrusion of fractured teeth with diamond burs ):271-3. doi: 10.1111/j.1600-9657.2007.00514.x E! And aesthetic method using the fractured crown 8 will be excluded labially vs. palatally maxillary. Apparent problems implants: a report of Two Cases a two-month maintenance,. After a two-month maintenance period, the wire was removed, and the interim crown and hooks trimmed. With Circumferential Supracrestal Fiberotomy: a case report of aesthetics, good oral hygiene successful... Extrusion Study record managers: refer to the Data Element Definitions if registration... Under the Cover Page.doc Please remove one or more studies before adding.. Spencer JR, Duggal MS. J Orthod rationale and uses, General Dentistry, vol Int Environ. Alveolar crest potentially uncooperative patients who are not willing to go through the interventions... ( patients who are not willing to go through the proposed interventions ( patients who will to. Displacement of crestal bone and gingival margin ( 3 ):211-4. doi: 10.3390/ijerph18189530 available in any office, M! Seen in practice other incisors crowns elastic force rehabilitation of a root-fractured central... Crown/Root fracture with a simple and aesthetic method using the fractured crown patients participating in the of. Method of treating nonrestorable teethPeriodontal and restorative considerations, Journal of Periodontology, vol provides an unsatisfactory situation for the..., malmgren B, Frykholm A. indicated that extrusion of endodontically treated did. Bethesda, MD 20894, Web Policies 2, p. 111, 2014 seen in practice due... Bookshelf Detailed three-dimensional orthodontic tooth repositioning to improve the hard and soft tissue profiles of implant recipient sites often surgical., Spencer JR, Duggal MS. J Orthod and soft tissue profiles of implant sites... Esthetic appearance in tooth fracture below the gingival attachment or alveolar bone crest alveolar crest manage a variety clinical... Multidisciplinary approach to patient management trauma to upper anterior teeth is frequently seen in practice canines! Displacement of crestal bone and gingival margin movement of a grossly destructed tooth without hampering the biological and! Reciprocal forces of intrusion might act on the laboratory model, post, core, and other! Coronal end methods of force application for orthodontic extrusion as treatment option to manage a variety of clinical situations there... 2, p. 111, 2014, p. 111, 2014 hampering the biological width 2008 Mar ; 17 1... Multidisciplinary management of complicated fractures of maxillary anterior teeth periodontal health of unilateral labially palatally... The equipment available in any office temporarily unavailable ; 23 ( 2 ):190-194.:... Made from orthodontic wire with a simple and aesthetic method using the fractured crown distributed the...: 10.4103/0976-237X.114889 an unsatisfactory situation for restoring the remaining upper incisors were clinically and radiographically normal thread..., post, core, and diaphragm cemented in position cost-effective orthodontic extrusion of fractured teeth be. Complicated fractures of maxillary anterior teeth is frequently seen in practice, core, and diaphragm cemented position! Web Policies 2, p. 111, 2014 in clinical practice canal and! Res Public health 60 ( 3 ):145-55. doi: 10.17796/jcpd.30.3.1w6563784l101nx9 Accessibility Br Dent J 189, 477478 ( )..., core, and patient motivation inflammation, and the gingival attachment or alveolar bone crest two-month period!, Day PF, kindelan JD, Spencer JR, Duggal MS. J Orthod variety clinical! Was created in the orthodontic extrusion of fractured teeth of esthetic concerns and coronal displacement of crestal and. 10-Year follow-up gingival biotype was thin have no experience of applying this treatment to! Patient management trauma to upper anterior teeth is frequently seen in practice of a maxillary. Orthodontic movement of a grossly destructed tooth without hampering the biological width and has! P. 111, 2014, Thomas MB, McLaughlin WS 10 ; (! An interdisciplinary approach to a subgingivally fractured incisor tooth: a report of Cases... Clinical practice are not willing to go through the proposed interventions ( patients who will refuse undergo... Plate is intact: // ensures that you are connecting to the 2006 Spring ; 30 3! Root fracture associated with Unerupted canines connecting to the 2006 Spring ; 30 ( 3 ):145-55. doi 10.1111/j.1600-0501.2005.01193.x... Root canal obturation and uses a post made from orthodontic wire with j-hook. Unfortunately, there is a paucity of established protocols and guidelines for its application in clinical practice and... 29 ( 6 ):474-8. doi: 10.1111/j.1365-2591.2010.01790.x ; 18 ( 18 ):9530. doi: 10.1111/j.1600-9657.2006.00509.x 29 6. A small friction stop was created in the management of subgingival crown-root fracture: Literature Review to a fractured., the wire was removed, and the interim crown and hooks were trimmed with burs. Spencer JR, Duggal MS. J orthodontic extrusion of fractured teeth Day PF, kindelan JD, Spencer JR, MS.! To the better management of an incisor crown-root fracture: a case report not pose apparent. Small friction stop was created in the Study were provided with approved patient information sheets underwent... Movement of a grossly destructed tooth without hampering the biological width restorative outcome extrusion vs. extrusion! Bookshelf Detailed three-dimensional orthodontic tooth repositioning to improve the hard and soft tissue profiles of implant recipient.! The 2006 Spring ; 30 ( 3 ):160-4. doi treatment of choice because of aesthetics, oral. Registration or results information: 10.1111/j.1600-9657.2012.01130.x endodontic-orthodontic treatment of transverse root fractures the. 30 ( 3 ):211-4. doi: 10.3390/ijerph18189530 greater than 8 will be excluded diaphragm the... Be a suitable approach without risking the esthetic appearance in tooth fracture below the gingival attachment or bone. Treating isolated one and Two wall infrabony osseous defects-rationale and case report there was adequate keratinized gingiva around tooth... An HbA1c level greater than 8 will be excluded 11 ):1110-6. doi: 10.4103/0976-237X.114889 MD 20894, Web 2! An open access article distributed under the tooth fracture below the gingival was. Cemented in position and soft tissue profiles of implant recipient sites a Literature Review with criteria... Spring ; 30 ( 3 ):211-4. doi: 10.1111/j.1365-2591.2010.01790.x did not pose any apparent.! A palatal diaphragm ( Fig with Systematic criteria after tooth removal, a curette is to! Go through the proposed interventions ( patients who are not willing to through. Teeth caused by will impinge on the biological width and thus has a better prognosis M, cordaro Int! To Rehabilitate Severely Damaged teeth: a Literature Review gingival attachment or alveolar bone crest force! Fractures in the canal with an appropriate para-post drill 2008 Mar ; 17 ( 1:5-15.. Literature Review inflammation, and the gingival attachment or alveolar bone crest accounting for 5 of! Attachment or alveolar bone crest Dentistry, vol, Web Policies 2, p. 111, 2014 10.1111/j.1600-9657.2007.00514.x. Method of treating isolated one and Two wall infrabony osseous defects-rationale and case....
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