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Related Experiment Videos

Migration following crown-lengthening procedure--a case report.

Ami Smidt1, Daniel Ziskind, Eyal Venezia

  • 1Department of Prosthodontics, The Hebrew University-Hadassah, Faculty of Dental Medicine, Jerusalem, Israel. smidta@md.huji.ac.il

Quintessence International (Berlin, Germany : 1985)
|July 21, 2004
PubMed
Summary

Tooth migration after periodontal surgery is a rare complication. This case report shows repositioning a migrated tooth using orthodontic appliances after a crown-lengthening procedure.

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Area of Science:

  • Dentistry
  • Periodontology
  • Orthodontics

Background:

  • Periodontal surgery can lead to complications like pain, swelling, and infection.
  • Resective surgical interventions may reduce the attachment apparatus of teeth.
  • Tooth migration as a postoperative complication remains unaddressed in existing literature.

Observation:

  • This paper details a case of tooth migration following a surgical preprosthetic clinical crown-lengthening procedure.
  • The migrated tooth was successfully repositioned using adjunctive orthodontics.
  • A removable maxillary modified Hawley appliance facilitated the orthodontic repositioning.

Findings:

  • Tooth migration is a potential, albeit rare, postoperative complication of periodontal surgery.
  • Adjunctive orthodontic treatment can effectively reposition teeth that have migrated post-surgery.

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  • Meticulous examination of occlusal status pre-surgery is crucial for prevention.

    • Implications:

    • Dentists must carefully assess occlusal stability before periodontal surgery to prevent migration.
    • Failure to ensure stability can lead to undesired tooth movement, impacting prognosis.
    • Preventing tooth migration simplifies future prosthetic work and improves treatment outcomes.