Intentional Replantation or surgical extrusion
#endo #direct #replantation #intentionalreplantation
I was looking forward to share this case I recently did.
The central incisor fractured pretty bad and most of you would have done a implant.
Maybe even an implant with PET as I just saw from Howie Gluckman at the online esthetic master (great lecture)
I used surgical extrusion for gaining ferrule. The tooth was a traumatically extracted with something called Zalex.
First I isolated the Case, retreated it and placed a post. The post is probably not necessary but at a lecture about this intentional replantation a post was suggested.
As a temp and for better splinting I did a build up with a silicone key.
The extrusion was done in a separate appointment and I splinted for 15 days. The mobility of this tooth was the same as the neighboring teeth.
So far I have done around five of this kind of treatment in this year. Follow ups are needed of course.
Greetings from Berlin
There is no post op extrusion picture ... I’m awfully sorry and I hope the post op xray gods will forgive me
Initial - high mobility
Removing of the old cement
And sealing of the dentin before NaOCl - this is a geeky thing calles IES, instead of IDS
Fiber post - probably overtreatment here
The palatal shell
Last xray before extrusion
Apparantly i suck in composite
Just cutting the fibers before extrusion
About 3mm extrusion
Some kind of shaping
Well too much shaping
15 days of splinting later
Time to remomve the splints
Some proof of 3mm
Done By Doctor : Friedrich Sauer