International Medical Case Reports Journal (Dec 2023)

Orthodontic Extrusion as an Aid for Restoring Extensively Destroyed Teeth and Preserving Implant Site Creation: A Case Series

  • Bosly RAA,
  • Sabyei MY,
  • Zailai AM,
  • Fageehi NY,
  • Madkhali SM,
  • Ageel AA,
  • Al Moaleem MM

Journal volume & issue
Vol. Volume 16
pp. 807 – 814

Abstract

Read online

Razan Abu Alqasem Bosly,1 Mushyirah Yahya Sabyei,2 Abdulaziz Mohammed Zailai,2 Nada Yousef Fageehi,2 Sara M Madkhali,3 Ahmad Abdulraheem Ageel,4 Mohammed M Al Moaleem5 1Saudi Board in Restorative Dentistry, Jazan Dental Center, Jazan, Saudi Arabia; 2Ministry of Health, Consultant in Restorative Dentistry Department, Jazan Specialist Dental Center, Jazan, Saudi Arabia; 3Senior Registrar in Orthodontics Dentistry Department, Ministry of Health, Jazan Specialist Dental Center, Jazan, Saudi Arabia; 4Consultant in Restorative Dentistry, Jazan Specialized Dental Center, Ministry of Health, Jazan, Saudi Arabia; 5Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, 45142, Saudi ArabiaCorrespondence: Mohammed M Al Moaleem, Department of Prosthetic Dental Science, College of Dentistry, Jazan University, Jazan, 45142, Saudi Arabia, Email [email protected]: Preserving questionable maxillary teeth for aesthetics is challenging for many practitioners. This report presents the clinical and radiographic results of an orthodontic extrusion technique for clinical crown lengthening of female patients’ maxillary teeth to increase the restorability of teeth. Splinting was carried out by using specially designed hucks cast with custom-made post joined with orthodontic brackets with adjusting teeth. Teeth were carefully extruded to the desired level without harming the marginal bone areas or root apices. Clinical follow-up evaluations were performed for 3 months before construction of the final prosthesis. Intra-oral radiographs showed normal periodontal contour consistent with new bone formation in the periapical area of all cases, with no evidence of root or crestal bone resorption or endodontic problems. This technique is highly recommended in the aesthetic area of the maxillary arch.Keywords: aesthetic, biologic width, crown lengthening, orthodontic extrusion, tooth restorability

Keywords