Abstract

Forced Tooth Eruption: More than just Extrusion!

by Samar Adel

Orthodontic slow extrusion is a sophisticated technique utilized in the interdisciplinary management of adult patients to facilitate gradual tooth repositioning. This method involves the application of controlled forces to move a tooth or teeth in a predetermined direction over an extended period, typically spanning several weeks to months. The gradual nature of this movement aims to mitigate potential risks such as root resorption and damage to surrounding periodontal tissues. This approach is frequently integrated with other dental specialties, including periodontics and prosthodontics, to achieve optimal outcomes in the holistic treatment of adult patients with complex dental conditions. Orthodontic slow extrusion is indicated in various clinical scenarios, such as in extraction sites to realign adjacent teeth and close gaps left by extracted teeth. Additionally, it forms a crucial component of pre-prosthetic treatment plans, optimizing tooth position and alignment prior to the placement of dental prosthetics like crowns or bridges. Furthermore, slow extrusion can enhance vertical bone and soft tissue volume before implant placement, thereby improving the overall prognosis of the treatment. Overall, orthodontic slow extrusion is a versatile and effective technique, capable of addressing diverse clinical challenges and achieving specific treatment objectives in adult patients.

Learning Objectives

After this lecture, you will be able to understand the clinical indications and contraindications for the application of slow forced tooth eruption in orthodontic practice.
After this lecture, you will be able to acquire knowledge of the most effective techniques, including mechanics, force application, and monitoring, to perform slow forced tooth eruption without inducing adverse side effects.
After this lecture, you will be able to comprehend the significance of interdisciplinary collaboration in managing complex cases, and learn to formulate comprehensive treatment plans that incorporate extrusion as a pivotal component of overall prosthetic treatment.