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Published on: September 20, 2018
Surgical extrusion with an atraumatic extraction system: A clinical study.
Ralf Krug1, Thomas Connert2, Sebastian Soliman1
1Assistant Professor, Department of Conservative Dentistry and Periodontology and Center of Dental Traumatology, University Hospital of Würzburg, Würzburg, Germany.
Surgical extrusion using an atraumatic extraction system (AES) offers a successful method for saving nonrestorable teeth. This technique shows a high success rate and minimal complications, regardless of patient age.
Area of Science:
- Oral Surgery
- Restorative Dentistry
- Periodontology
Background:
- Limited clinical data exists on the feasibility of surgically extruding nonrestorable teeth with subgingival caries.
- Novel techniques for tooth extrusion are emerging to address this gap.
Purpose of the Study:
- To evaluate the success rate of tooth extrusion using an atraumatic extraction system (AES).
- To determine the incidence of biological and technical complications associated with AES-assisted tooth extrusion.
Main Methods:
- Fifty-one patients underwent surgical extrusion with AES, followed by endodontic treatment and restoration.
- Clinical and radiographic evaluations were performed on participants with a mean follow-up of 3.1 years.
Main Results:
- A high success rate of 92.2% was observed for extruded teeth.
- Complications included transient resorption (9.8%), bone loss (15.7%), periapical periodontitis (7.8%), and root perforation (5.9%).
- The overall technical complication rate was 9.7%.
Conclusions:
- The atraumatic extraction system (AES) is a viable option for the surgical extrusion of nonrestorable teeth.
- This method is effective across all patient age groups.
- AES facilitates the preservation of teeth that would otherwise be deemed unsalvageable.
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