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[Crown lengthening by orthodontic extrusion. Principles and technics].

R Sabri

    Journal De Parodontologie
    |May 1, 1989
    PubMed
    Summary

    Forced eruption is an orthodontic technique that effectively treats subgingival caries and root fractures below the bone crest. This method enables restoration of severely damaged teeth while preserving crucial biologic width for periodontal health.

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    Area of Science:

    • Dentistry
    • Orthodontics
    • Periodontology

    Background:

    • Subgingival caries and root fractures pose significant challenges in restorative dentistry.
    • Managing these conditions often requires complex treatment planning to preserve teeth.
    • Maintaining biologic width is critical for periodontal health and successful restoration outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of forced eruption in managing subgingival caries and root fractures.
    • To demonstrate how forced eruption facilitates the restoration of compromised teeth.
    • To highlight the importance of maintaining biologic distance with forced eruption.

    Main Methods:

    • Utilizing orthodontic forces to gradually extrude teeth with subgingival defects.
    • Allowing for the coronal repositioning of the fracture or caries line.
    • Monitoring the preservation of the biologic width during the eruption process.

    Main Results:

    • Forced eruption effectively moved the defect to a supragingival position.
    • Restorations could be successfully placed on teeth previously deemed unrestorable.
    • Biologic distance between the junctional epithelium and alveolar crest was maintained.

    Conclusions:

    • Forced eruption is a viable and effective treatment modality for subgingival caries and root fractures.
    • This orthodontic approach enhances the prognosis of teeth with compromised subgingival areas.
    • Preservation of biologic width is achievable through forced eruption, ensuring long-term periodontal health.

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