Orthodontic Extrusion: An Interdisciplinary Approach to Patient Management

From Volume 36, Issue 4, May 2009 | Pages 212-218

Authors

Liam D Addy

BDS, MFDS, MPhil, FDS(Rest Dent)

Specialist Registrar in Restorative Dentistry, Cardiff University, Dental School, Wales College of Medicine, Heath Park, Cardiff, CF14 4XY

Articles by Liam D Addy

Peter Durning

BDS, DOrth, MDS FDS(Edin), FDS(Eng)

Consultant Orthodontist, Cardiff University School of Dentistry, Heath Park, Cardiff, UK

Articles by Peter Durning

Matthew BM Thomas

BDS(Hons), MFDS, MPhil, MRDRCS(Ed), FDS RCS(Eng), FDS RCS(Ed), FDTFEd

Specialist Registrar in Restorative Dentistry, Cardiff University School of Dentistry, Heath Park, Cardiff, UK

Articles by Matthew BM Thomas

William S McLaughlin

BDS, FDS, MSc, DRD MRD

Consultant in Restorative Dentistry, Cardiff University School of Dentistry, Heath Park, Cardiff, UK

Articles by William S McLaughlin

Abstract

Root fractures that occur at the cervical margin do not always heal predictably, even following a period of splinting. This often leaves margins either sub-gingival or sub-crestal. This provides an unsatisfactory situation for restoring the remaining root as restorations will impinge on the biological width. Provided a root is long enough to support a post crown, then orthodontic extrusion to provide sufficient supra-gingival tooth tissue is a useful treatment option to consider. A review of the literature on orthodontic extrusion is considered in conjunction with a case report of the management of a young male who fractured a canine and lateral incisor whilst playing cricket.

Article