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International Journal of Esthetic Dentistry  (English Edition)
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Int J Esthet Dent 13 (2018), No. 2     10. May 2018
Int J Esthet Dent 13 (2018), No. 2  (10.05.2018)

Page 240-273, PubMed:29687103


Surgical extrusion: a simplified esthetic method of treating non-restorable teeth. Rationale and case report
Becciani, Riccardo / Faganello, Davide / Fradeani, Mauro
The restoration of teeth that have been compromised by loss of crown and radicular structure due to caries, fractures, root resorption or iatrogenic lesions could result in the violation of the biologic width, with consequent gingival inflammation, loss of attachment, and alveolar bone loss. It is essential in these cases to obtain an adequate enough portion of the tooth structure to allow for a restoration that respects the biologic width. This can be achieved using a procedure that allows for the extrusion of the root in a single step, thereby shifting the compromised site from subgingival to supragingival. This allows adequate space to reestablish the biologic width while simplifying and speeding up the restorative procedures. The combination of this fast and reliable procedure with modern tooth preparation, current adhesive techniques, and the latest generation of restorative materials aligns perfectly with the philosophy of minimally invasive procedures, with undeniable advantages for patients.