Applying extrusive orthodontic force without compromising the obturated canal space

Area of Science:

• Dentistry
• Orthodontics
• Endodontics

Background:

• Complicated tooth fractures from orofacial trauma present significant dental challenges.
• Orthodontic forced eruption is a conservative method to gain supragingival tooth structure.
• Traditional methods risk compromising the root canal seal, leading to potential endodontic failure.

Observation:

• This article presents a novel technique for orthodontic forced eruption using an extracanal attachment.
• The technique involves applying extrusion force via an attachment connected to the remaining clinical crown.

Findings:

• The extracanal attachment approach avoids compromising the obturated root canal space.
• This method is effective for managing post-traumatic crown fractures.

Implications:

• The described procedure is efficient and convenient for clinicians.
• It minimizes the risk of provisional crown loosening during extrusion.
• Maintaining the integrity of the canal space is crucial for long-term endodontic success.