Surgical extrusion of a crown-root fractured tooth: 3.5-year follow-up

Onay E. O., ÜNGÖR M., Kaya B., Veziroglu F.

Dental Press Endodontics, vol.4, no.3, pp.47-52, 2014 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 4 Issue: 3
  • Publication Date: 2014
  • Doi Number: 10.1590/2178-3713.4.3.047-052.oar
  • Journal Name: Dental Press Endodontics
  • Journal Indexes: Scopus
  • Page Numbers: pp.47-52
  • Keywords: Orthodontics, Surgical instruments, Tooth fractures, Traumatology
  • Istanbul Medipol University Affiliated: Yes


Introduction: Different treatment approaches are indicated for crown-root fractured teeth. Surgical extrusion is a onestep procedure that implies immediate repositioning of the tooth into its normal position. The aim of this case report was to report the multidisciplinary treatment of a crown-root fractured maxillary premolar. Methods: In this case, a crown-root fractured maxillary premolar was treated by means of the surgical extrusion technique. After solving the issue of periapical radiolucency, the tooth was restored with porcelain-fused-to-metal crown. Results: At the 3.5-year follow-up, the tooth was asymptomatic and there were no radiographic and clinical signs of progressive root resorption, marginal bone loss or periapical disease. Conclusion: The favorable results of this case demonstrate that surgical extrusion may be an alternative treatment to existing protocols.