Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

240THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

SCIENTIFIC SESSION

Surgical extrusion: a simplified

esthetic method of treating

non-restorable teeth.

Rationale and case report

Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy

Davide Faganello, DDS

Mauro Fradeani, MD, DDS

240THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

241THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

-

-

(Int J Esthet Dent 2018;13:240–273)

242THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

SCIENTIFIC SESSION

-

-

-

-

-

-

-

-

-

-

-

Table 1 root recovery

Orthodontic extrusion and clinical crown

lengthening surgery

Surgical clinical crown lengthening

Surgical extrusion

Intervention time

- -

-

-

-

-

- -

243THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

Fig 1 (a)(b)

(c)

Fig 2 (a)-

(b)

(c)

a a

b b

c c

-

-

-

tient

SCIENTIFIC SESSION

244THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

to limit or prevent

-

-

-

-

-

-

-

31

-

-

-

-

-

-

-

zone

-

-

-

245THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

plantation.

-

-

a b

c d

Fig 3 (a) (b)

(c)(d)

SCIENTIFIC SESSION

246THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

a b

c d

Fig 4 (a)

(b)(c) Re-

(d) -

(e)e

247THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

a b

c d

Fig 5 (a) (b) Lateral

(c) (d)

SCIENTIFIC SESSION

248THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

Only

-

to the patient.

-

-

-

-

Relative contraindications:

the amount

-

-

Absolute contraindications:

-

-

-

-

-

249THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

root.

-

-

time.

-

31

-

-

-

-

-

that typically ac-

SCIENTIFIC SESSION

250THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

Table 2

StudyNumber

of patientsNumber of teeth

Follow-up (month) Mean

Follow-up (month) Range

Cali kan et al

1 1 11

Kim et al 3

Kim et al 3

Kirzio 1 1

1 1

1 1

Kim et al

1 1

1 1

Yuan et al 1 1

Moura et al 1 1

251THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

Non-progressive root

resorption

Progressive root

resorptionAnkylosis

Slight mobility

Severe mobility

Tooth loss

Marginal bone loss

1

1 1

1 1 1

1

1

3

1

1

1

SCIENTIFIC SESSION

252THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

et al

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

253THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

a b

c d

Fig 6 (a) -

(b) -

(c) Ra-

-

(d)(e)

(f)(g)

e f

g

SCIENTIFIC SESSION

254THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

-

-

-

al

-

-

-

-

Cali kan et al,

255THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

al,

al,13 -

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

SCIENTIFIC SESSION

256THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

The

-

-

-

-

-

-

Cali kan et

al

-

-

-

-

-

In our

257THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

Fig 7 (a) (b) (c) (d) (e) (f)

a b

d e

c

f

SCIENTIFIC SESSION

258THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

-

Fig 8 (a)(b).

-

-

-

-

-

ba

259THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

Fig 9 (a) (b) (c) Central

(d)(e)

(f) (g)(h) (i)

check-up.

a b c

d e f

g h i

-

-

-

-

-

Kim et al -

-

SCIENTIFIC SESSION

260THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

Fig 10 (a) (b)(c) -

(d)(e) (f) (g) -

(h) (i)

(j) (k) (l) (m)

a b c

d e f

g

261THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

-

-

i j k

h

l m

SCIENTIFIC SESSION

262THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

263THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

Fig 11 (1) (2) (3)

(4)(5) Ra-

(6)(7)

1 2

3 4

6

7

5

SCIENTIFIC SESSION

264THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

8 9

10 11

12 13

Fig 11, cont (8) (9) -

(10) (11) -

(12)(13)

(14) (15)(16) (17)

(18)(19)

retreatment. (20) (21)(22)

265THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

14 15

16 17

18 20

21 22

19

SCIENTIFIC SESSION

266THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

24

25 26

27 28

30 31

23

29

267THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

32 33

34

35 36

Fig 11, cont (23) (24)(25)

(26) (27)(28) (29)

(30) (31) (32) (33) (34) La-

(35)(36)

SCIENTIFIC SESSION

268THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

38

39

40

37

41

42

Fig 11, cont (37)-

-

(38) (39)

(40)(41) Ra-

-

(42)a check-up. (43)a check-up. (44)check-up. (45)(46)

269THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

43

45

46

44

-

-

-

-

270THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

SCIENTIFIC SESSION

-

-

-

-

-

-

-

-

-tal health. Part I. Int J Peri-

-

-

-

-

-

-

replantation. Dental Trauma-

--

-

C, Vulicevic ZR, Ferrari M.

-

271THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

treatment approach to a -

-

--

-

-

-

-

33. Salama H, Salama M. The

-

-

-

-

-

--

-

-

-

-

C, Revert H, Revert S. Nine-

-

-

-

-

-

272THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

SCIENTIFIC SESSION

-

-

-

-

-

--

--

-

-

-

-

-

-

--

Implicazioni cliniche. Dental

-

-

-

-

-

-

273THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

-

-

--

lu Z, Karayilmaz

-

-

-

-

-

JC, Carvalho CM. Treatment

-