Surgical Extrusion

- The recovery of extremely compromised teeth through Surgical Extrusion, indication and limits
- Biological basis of the technique
- The scientific literature on the technique
- From extrusion to case finalization, the timing of healing
- Surgical extrusion step by step
- Case study of the Think Adhesive Group
- Clinical cases and follow up

In all the cases where we have a violation of the biological width for caries or fracture, it is common to recoup an adequate amount of tooth structure by extensive resective osseous  surgery with or without orthodontic treatment. In more serious cases one may have to proceed with the extraction of the tooth and replacement with an implant.

Surgical extrusion allows us to save a tooth using a method that is simple, fast and with very little discomfort for the patient compared to other procedures.

This is especially true in the cases where patients refuse invasive procedures such as surgical crown lengthening or extraction and implant placement.

The only true complication of surgical extrusion is the fracture of the root during the luxation procedure, and therefore the patients must be well informed. It is for this reason that this technique is electively applied where there is severe coronal destruction and/or when the patient refuses the usual surgical/orthodontic technique to recoup tooth structure.

This technique, not well know and rarely used, allows us to delay extraction and an eventual insertion of an implant, and therefore is particularly indicated in young patients for recouping teeth with a doubtful prognosis.

This is a simple, easy to perform and highly predictable technique. When paired with modern minimally invasive procedures, adhesive techniques and the latest generation of restorative materials, it results in the present tendency to utilize conservative, simple and rapid execution  techniques in an optic of minimally invasive procedures.