Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review

Martina Cordaro, Edoardo Staderini, Ferruccio Torsello, Nicola Maria Grande, Matteo Turchi and Massimo Cordaro
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Martina Cordaro: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy
Edoardo Staderini: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy
Ferruccio Torsello: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy
Nicola Maria Grande: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy
Matteo Turchi: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy
Massimo Cordaro: IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy

IJERPH, 2021, vol. 18, issue 18, 1-15

Abstract: The need to rehabilitate severely compromised teeth is frequent in daily clinical practice. Tooth extraction and replacement with dental implant represents a common treatment choice. However, the survival rate for implants is inferior to teeth, even if severely damaged but properly treated. In order to reestablish a physiological supracrestal tissue attachment of damaged teeth and to arrange an efficient ferrule effect, three options can be considered: crown lengthening, orthodontic extrusion and surgical extrusion. Crown lengthening is considered an invasive technique that causes the removal of part of the bony support, while both orthodontic and surgical extrusion can avoid this inconvenience and can be used successfully in the treatment of severely damaged teeth. The aim of the present narrative review is to compare advantages, disadvantages, time of therapy required, contraindications and complications of both techniques.

Keywords: orthodontic extrusion; surgical extrusion; rapid orthodontic extrusion; forced orthodontic eruption; crown–root fracture; orthodontics (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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