Tooth extrusion - Emergency Dentist London

Tooth extrusion is a type of dental treatment that is used to correct a single damaged tooth, more detailed orthodontic techniques are used to correct the malposition of any given single tooth that needs work on.
Extrusion means the elongation of the tooth, the movement of the tooth in an occlusal or incisal direction. The tooth extrusion procedure involves the removal of the tooth from the mouth, this is needed for a wide variety of different reasons which include any damage by decay or even if the tooth has been broken. The dentists first try to fix the problematic tooth with fillings or crowns, but if there is no other way because of too much damage extrusion is needed.
In some cases the extrusion of a healthy tooth might be necessary to make more space for orthodontic procedures.

In some cases it can be a very distressing scenario when the patient is seen in the workplace after fracturing off an incisor. The thought of losing teeth can be a struggle to anyone in any situation but this can be more devastaing when the tooth is in the esthetic zone. Then you add to that stress a patient who now has a lifetime to manage the dental repercussions from this one event.

It is incredible that we have the option of implants to replace teeth that can not be restored. When we assess these situations, we follow a thought process that always starts with ” can we save this tooth?”
We do not believe ultimate heroics and saving teeth just to have the patient and dentist manage multiple frustrations because the treatment was unpredictable or impossible. On the other hand we are clear that from an esthetic point of view, if we can save the natural tooth the impact on preserving bone and tissue are to our advantage.

Asking this question about saving teeth, we have employed the help of orthodontics more and more. One of the classic challenges of an incisor that has fractured off is having adequate tooth structure to make the tooth restorable. After stabilization if there is mobility from the trauma, and endodontic therapy if we restore a tooth with inadequate tooth structure, we have destined it to fail sooner rather than later. Most of these clinical situations are not good candidates for a surgical solution.

Our goal is to end with level gingival margins, and to make sure that the pink esthetics is as exquisite as the teeth, so that the crown lengthening is only an option if both the cervical gingiva and the interdental papilla can be moved apically without any compromising of the final appearance.

Orthodontic extrusion on the other hand is often an excellent solution. The tooth can be extruded or pulled in an incisal direction. If we need to also bring tissue and bone with the tooth to correct gingival esthetics this can be accomplished. Once the tooth has been extruded an adequate amount for successful restoration, if the gingival margins are now incisal to the adjacent teeth, crown lengthening can correct this and expose tooth structure for preparation.

This treatment protocol has helped us save many teeth for many patients over the years and ensure exquisite esthetic and structural results.
Despite hopes, the tooth can not be saved, using orthodontic extrusion can create an optimal scenario for implant placement by moving the tissue and bone incisally.