Periodontal status of anterior teeth following clinical crown lengthening by minimally traumatic controlled surgical extrusion

Background/Aims The number of fractured anterior teeth following trauma has been increasing while not every patient is able to afford a dental implant instead of maintaining the injured tooth. Thus, a tooth conservation solution is required to place an aesthetic and functional restoration without bi...

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Bibliographic Details
Published in:Dental traumatology 2018-12, Vol.34 (6), p.455-463
Main Authors: Pham, Hien Tin, Nguyen, Phuc Anh, Pham, Thuy Anh Vu
Format: Article
Language:English
Subjects:
Adult
Ankylosis
anterior teeth
clinical crown lengthening
Crown Lengthening - methods
Dental crowns
Dental implants
Dental restorative materials
Dental surgery
Dentistry
Female
Fractures
Gingiva
Gingival index
Humans
Longitudinal Studies
Male
minimally traumatic controlled surgical extrusion
Mobility
Orthodontic Extrusion - methods
Osteogenesis
Periodontal Index
periodontal status
Periodontics
Postoperative Complications
Radiography
Root resorption
Surgery
Teeth
Tooth Crown - injuries
Tooth Fractures - surgery
Trauma
Treatment Outcome
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Summary:Background/Aims The number of fractured anterior teeth following trauma has been increasing while not every patient is able to afford a dental implant instead of maintaining the injured tooth. Thus, a tooth conservation solution is required to place an aesthetic and functional restoration without biologic width violation. The aim of this study was to evaluate the effectiveness of minimally traumatic controlled surgical extrusion in fractured anterior teeth crown lengthening by assessing the periodontal status through clinical examination and radiographs. Methods This longitudinal observational study investigated a group of 18 patients (six males and 12 females) at the Department of Periodontology, National Hospital of Odonto‐stomatology, Ho Chi Minh City, Vietnam. Following pre‐surgery procedures and examination, minimally traumatic controlled surgical extrusion was carried out using a periotome. Patients were examined at four follow‐up appointments after 1 week, 1, 3 and 6 months to record the following experimental variables: periodontal parameters including the gingival index (GI), pocket depth (PD), bleeding on probing (BOP), mobility, marginal gingiva position, alveolar ridge resorption, periapical osteogenesis, tooth resorption and ankylosis. Results All periodontal parameters were significantly decreased at 3 and 6 months post‐procedure (P 
ISSN:1600-4469
1600-9657
DOI:10.1111/edt.12438