ATRAUMATIC SURGICAL EXTRUSION OF COMPLETE CROWN FRACTURED TOOTH USING PERIOTOME IN ESTHETIC ZONE: REPORT OF THREE CASES
Autor: | Shiras Verma, Prashant Bhusari, Nitin Agrawal, Amiyavardhan Jain, Shivam Upadhyay |
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Rok vydání: | 2014 |
Předmět: |
Orthodontics
Crestal bone Fractured tooth medicine.diagnostic_test business.industry Root canal medicine.medical_treatment Radiography Bleeding on probing Crown lengthening Dentistry Physical examination Crown (dentistry) stomatognathic diseases medicine.anatomical_structure stomatognathic system medicine medicine.symptom business |
Zdroj: | Journal of Evolution of Medical and Dental Sciences. 3:6550-6558 |
ISSN: | 2278-4802 2278-4748 |
Popis: | BACKGROUND: Restoring traumatically injured teeth is a clinical challenge and often requires a multidisciplinary approach for predictable esthetic outcome. Although a number of techniques have been proposed for clinical crown lengthening procedures, all have some limitations in terms of function and esthetic. AIM: This report presents the clinical and radiographic results of surgical extrusion technique for clinical crown lengthening. MATERIAL & METHODS: Atraumatic surgical extrusion using a specially designed instrument (Periotome) was performed in three cases in which it was expected that extensive respective osseous surgery would have to be used for crown lengthening. After luxation the teeth were extruded to the desired position and stabilized with sutures without rigid splinting. Two months after stabilization the teeth were treated by root canal treatment and firmly restored after 4months. RESULTS: Clinical examination performed after 6 months revealed probing depth ≤3mm around the teeth at all sites without bleeding on probing. Radiographs showed normal periodontal contour with new bone formation in periapical region without any evidence of root or crestal bone resorption or endodontic problems. CONCLUSION: The outcome of the treatment within a short duration has very good results without any esthetic and functional deformities. |
Databáze: | OpenAIRE |
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