Surgical extrusion of a maxillary premolar after orthodontic extrusion: a retrospective study
최용훈, 이효정,
소속 상세정보
최용훈 ( Choi Yong-Hoon ) - Seoul National University Bundang Hospital Section of Dentistry Department of Conservative Dentistry
이효정 ( Lee Hyo-Jung ) - Seoul National University Bundang Hospital Section of Dentistry Department of Periodontology
Abstract
Objectives: Crown-root fracture and cervical caries in maxillary premolars constitute a challenge in cases of subgingival placement of restoration margins. Surgical extrusion has been practiced successfully in permanent anterior teeth. The aim of the present retrospective study was to assess the clinical outcome of surgical extrusion after orthodontic extrusion in maxillary premolars.
Materials and Methods: Twenty-one single, tapered root maxillary premolars with subgingival crown-root fracture or caries were included. Presurgical orthodontic extrusion was performed on all teeth to prevent root resorption. Extent of extrusion and rotation was determined based on crown/root ratio. The postoperative splinting period was 7 to 14 days. Clinical and radiographic examination was performed at an interval of 1, 2, and 3 months.
Results: After the mean follow-up of 41.9±15.2 months, failure was observed as increased mobility in 3 of 21 cases. No significant difference was observed in the outcome of surgical extrusion based on tooth type, age, sex, 180° rotation, or time for extraction. Furthermore, marginal bone loss was not observed.
Conclusion: Surgical extrusion of maxillary premolars can be a possible therapeutic option in cases of subgingival crown-root fracture.
키워드
Surgical extrusion; Maxillary premolar; Surgical crown lengthening
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