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Journal of Prosthetic Dentistry

Forced orthodontic extrusion for an apparently hopeless anterior tooth by using a simplified approach

Published:September 20, 2022DOI:https://doi.org/10.1016/j.prosdent.2022.06.020

      Abstract

      When restoring severely compromised teeth, respecting the supracrestal tissue attachment and retaining the most coronal and radicular tooth structure is essential to achieving a sufficient ferrule. Forced orthodontic extrusion is a minimally invasive method that allows hard- and soft-tissue conservation. This article describes the treatment of a severely damaged maxillary central incisor that was managed by using a simplified orthodontic extrusion method with intracoronal elastic and metal ligatures applied through a palatal bar and followed by the biologically oriented preparation technique (BOPT). This orthodontic procedure reduces a forward clockwise advance during vertical extrusion, thus maintaining the buccal bone plate.
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