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Flapless Decoronation: A Minimally Invasive Approach.

Boaz Shay1,2, Eitan Mijiritsky3,4, Meital Bronstein1,2

  • 1Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem 9112102, Israel.

International Journal of Environmental Research and Public Health
|January 8, 2023
PubMed
Summary

A minimally invasive flapless decoronation technique simplifies treating severe dental injuries in children. This method reduces surgical complexity and aids clinical acceptance, particularly for young patients experiencing tooth ankylosis.

Keywords:
decoronationdental traumaflapless decoronationminimally invasiveridge preservation

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Pediatric Dentistry

Background:

  • Traumatic dental injuries are common in children, with severe cases like avulsion and intrusion often leading to dentoalveolar ankylosis.
  • Dentoalveolar ankylosis negatively impacts developing alveolar bone and adjacent tooth eruption.
  • The decoronation procedure, introduced in 1984, aims to mitigate these adverse effects.

Purpose of the Study:

  • To describe a minimally invasive, flapless decoronation technique.
  • To simplify the surgical procedure and enhance clinical acceptance, especially in young children.

Main Methods:

  • A flapless decoronation procedure performed under local anesthesia.
  • Removal of the dental crown and apical root reduction (1.5-2.0 mm below bone crest).
  • Root canal debridement, allowing blood clot formation, and coronal sealing with a porcine-derived collagen matrix (PDCM) using the "parachute" technique.

Main Results:

  • The described technique offers a simplified and minimally invasive approach to decoronation.
  • Demonstrated efficacy in two clinical cases.
  • Facilitates easier clinical application and post-operative management.

Conclusions:

  • The flapless decoronation technique is a modification of the classic procedure.
  • It presents a minimally invasive option to simplify surgical and post-operative processes.
  • This technique holds promise for managing dentoalveolar ankylosis in pediatric patients.