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Orthodontic Extrusion: Guidelines for Contemporary Clinical Practice
The International Journal of Periodontics & Restorative Dentistry
|September 14, 2020
Summary
Orthodontic extrusion (OE) offers predictable tooth movement for various clinical needs. This article provides guidelines for applying OE, addressing common indications and controversies in its application.
Area of Science:
- Dentistry
- Orthodontics
- Periodontics
Background:
- Orthodontic extrusion (OE) involves moving teeth coronally to alter tooth position and surrounding tissues.
- Clinical evidence suggests OE is a predictable treatment for impacted teeth, damaged teeth, periodontal defects, and implant site development.
- Established protocols and guidelines for OE application are currently lacking.
Purpose of the Study:
- To provide a concise perspective on orthodontic extrusion (OE).
- To discuss key biologic principles and technical aspects of OE.
- To translate these principles into clinical guidelines for managing various scenarios.
Main Methods:
- Review of clinical reports and case series.
- Discussion of biologic principles and technical aspects.
- Development of clinical guidelines based on evidence and expert consensus.
Main Results:
- OE is a predictable treatment option with diverse clinical applications.
- Controversies exist regarding OE definitions, fiberotomy use, and stabilization.
- Guidelines are proposed for managing different clinical scenarios involving OE.
Conclusions:
- Orthodontic extrusion is a valuable therapeutic tool in dentistry.
- Standardized protocols are needed to optimize OE outcomes.
- This article offers a framework for evidence-based OE application.
