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240 THE 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 240 THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY SUMMER
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Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

Mar 30, 2021

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Page 1: 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

Page 2: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

241THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

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-

-

-

-

-

-

(Int J Esthet Dent 2018;13:240–273)

Page 3: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

242THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

-

-

-

-

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-

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Table 1 root recovery

Orthodontic extrusion and clinical crown

lengthening surgery

Surgical clinical crown lengthening

Surgical extrusion

Intervention time

- -

-

-

-

-

- -

Page 4: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

243THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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Fig 1 (a)(b)

(c)

Fig 2 (a)-

(b)

(c)

a a

b b

c c

-

-

-

tient

Page 5: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

SCIENTIFIC SESSION

244THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

-

to limit or prevent

-

-

-

-

-

-

-

31

-

-

-

-

-

-

-

zone

-

-

-

Page 6: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

245THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

SUMMER

-

-

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plantation.

-

-

a b

c d

Fig 3 (a) (b)

(c)(d)

Page 7: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

SCIENTIFIC SESSION

246THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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a b

c d

Fig 4 (a)

(b)(c) Re-

(d) -

(e)e

Page 8: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

247THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

a b

c d

Fig 5 (a) (b) Lateral

(c) (d)

Page 9: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

SCIENTIFIC SESSION

248THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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Only

-

to the patient.

-

-

-

-

Relative contraindications:

the amount

-

-

Absolute contraindications:

-

-

-

-

-

Page 10: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

249THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

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root.

-

-

time.

-

31

-

-

-

-

-

that typically ac-

Page 11: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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250THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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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

Page 12: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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

Page 13: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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252THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

-

et al

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Page 14: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

253THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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a b

c d

Fig 6 (a) -

(b) -

(c) Ra-

-

(d)(e)

(f)(g)

e f

g

Page 15: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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254THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

-

-

-

-

al

-

-

-

-

Cali kan et al,

Page 16: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

255THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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al,

al,13 -

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

-

Page 17: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

SCIENTIFIC SESSION

256THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

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The

-

-

-

-

-

-

Cali kan et

al

-

-

-

-

-

In our

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257THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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

a b

d e

c

f

Page 19: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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258THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

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Fig 8 (a)(b).

-

-

-

-

-

ba

Page 20: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

259THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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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 -

-

Page 21: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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260THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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

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

(h) (i)

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

a b c

d e f

g

Page 22: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

261THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

-

-

-

-

-

i j k

h

l m

Page 23: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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262THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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Page 24: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

263THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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Fig 11 (1) (2) (3)

(4)(5) Ra-

(6)(7)

1 2

3 4

6

7

5

Page 25: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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264THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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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)

Page 26: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

265THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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14 15

16 17

18 20

21 22

19

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266THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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25 26

27 28

30 31

23

29

Page 28: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

267THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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32 33

34

35 36

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

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

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

(35)(36)

Page 29: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

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268THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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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)

Page 30: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

269THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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43

45

46

44

-

-

-

-

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270THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-tal health. Part I. Int J Peri-

-

-

-

-

-

-

replantation. Dental Trauma-

--

-

C, Vulicevic ZR, Ferrari M.

-

Page 32: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

271THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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treatment approach to a -

-

--

-

-

-

-

33. Salama H, Salama M. The

-

-

-

-

-

--

-

-

-

-

C, Revert H, Revert S. Nine-

-

-

-

-

-

Page 33: Surgical extrusion: a simplified esthetic method of treating ...Riccardo Becciani, MD, DDS Private practice, Impruneta (Firenze), Italy Davide Faganello, DDS 1SJWBUF 1SBDUJDF ;FSP

272THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

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-

-

--

--

-

-

-

-

-

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--

Implicazioni cliniche. Dental

-

-

-

-

-

-

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273THE INTERNATIONAL JOURNAL OF ESTHETIC DENTISTRY

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-

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--

lu Z, Karayilmaz

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-

-

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JC, Carvalho CM. Treatment

-