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Orthodontic extrusion: an interdisciplinary approach to patient management

Addy, Liam D., Durning, Peter, Thomas, Matthew Bernard Miles and McLaughlin, William S. 2009. Orthodontic extrusion: an interdisciplinary approach to patient management. Dental Update 36 (4) , pp. 212-4.

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Root fractures that occur at the cervical margin do not always heal predictably, even following a period of splinting. This often leaves margins either sub-gingival or sub-crestal. This provides an unsatisfactory situation for restoring the remaining root as restorations will impinge on the biological width. Provided a root is long enough to support a post crown, then orthodontic extrusion to provide sufficient supra-gingival tooth tissue is a useful treatment option to consider. A review of the literature on orthodontic extrusion is considered in conjunction with a case report of the management of a young male who fractured a canine and lateral incisor whilst playing cricket. CLINICAL RELEVANCE: Trauma to upper anterior teeth is frequently seen in practice. One treatment option in the management of sub-crestal cervical root fractures is orthodontic extrusion, rather than removal of the tooth. [References: 27]

Item Type: Article
Date Type: Publication
Status: Published
Schools: Dentistry
Uncontrolled Keywords: crown lengthening; crowns; cuspid/in [injuries]; humans; incisor/in [injuries]; male; maxilla; orthodontic extrusion; patient care team; tooth fractures/th [therapy]; tooth root/in [injuries]; young adult
Additional Information: Dent Update
Publisher: George Warman Publications (UK) Ltd.
ISSN: 0305-5000
Last Modified: 10 Nov 2021 02:22

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