Tooth preservation of deeply destroyed teeth by forced orthodontic extrusion: A case series
- Autores: Maria Bruhnke, Kerstin Bitter, Florian Beuer, Mats Wernfried Heinrich Böse, Stefan Neumeyer, Michael Naumann
- Localización: Quintessence International, ISSN-e 0033-6572, Vol. 53, Nº. 6, 2022, págs. 522-531
- Idioma: inglés
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Resumen
Maintaining and restoring teeth exhibiting subgingival or even subcrestal defect extensions represent a common problem in daily practice. Such teeth are often deemed “unrestorable” due to a significant hard tissue loss and defect locations violating the biologic width. In order to achieve a sufficient 2-mm-ferrule design and reestablish the biologic width, both surgical crown lengthening and orthodontic extrusion have been suggested. However, surgical crown lengthening has a negative effect on the attachment level of adjacent teeth as well as esthetic disadvantages particularly in the esthetic zone. Therefore, orthodontic extrusion might be considered as a valid therapeutic alternative since gingival architecture is maintained. While most orthodontic appliances are too complex for daily application, forced orthodontic extrusion by means of the Tissue Master Concept might be a cost- and time-effective approach due to advances in adhesive and computer-assisted dentistry. This clinical case series illustrates the methodology of the rather straightforward Tissue Master Concept in specific clinical situations that may occur in clinical routine.
