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Biologically oriented preparation technique for surgically extruded teeth: A clinical report.
Marc Llaquet Pujol1, Andres Pascual La Rocca2, Jaume Casaponsa Parerols3
1Associate Professor, Department of Restorative Dentistry and Endodontics, Universitat Internacional de Catalunya, Sant Cugat del Vallès, Barcelona, Spain.
The Journal of Prosthetic Dentistry
|July 23, 2020
Summary
Surgically extruding teeth can improve aesthetics, but may thin surrounding gum tissue. The biologically oriented preparation technique (BiOP) can enhance long-term gum thickness after this procedure.
Area of Science:
- Dental surgery
- Restorative dentistry
- Periodontology
Background:
- Surgical extrusion is a technique to achieve a ferrule on non-restorable teeth without extensive tissue removal.
- A potential complication of surgical extrusion is post-healing gingival recession, leading to unesthetic results.
- Maintaining adequate gingival thickness is crucial for long-term aesthetic outcomes in restorative dentistry.
Purpose of the Study:
- To describe the treatment of teeth lacking a ferrule that underwent surgical extrusion.
- To evaluate the application of the biologically oriented preparation technique (BiOP) in conjunction with surgical extrusion.
- To assess the long-term gingival thickness and aesthetic outcomes following this combined approach.
Main Methods:
- Three patients with teeth requiring surgical extrusion due to lack of ferrule were included.
- Teeth were surgically extruded to achieve a ferrule.
- Restoration was performed using the biologically oriented preparation technique (BiOP).
Main Results:
- Surgical extrusion successfully created a ferrule in all cases.
- The biologically oriented preparation technique (BiOP) was applied for restoration.
- Long-term follow-up demonstrated favorable gingival thickness and aesthetic results.
Conclusions:
- Surgical extrusion combined with the biologically oriented preparation technique (BiOP) is a viable treatment for teeth without a ferrule.
- This approach can achieve favorable long-term gingival thickness and improve aesthetic outcomes.
- The BiOP technique may mitigate the risk of gingival thinning associated with surgical extrusion.
