Surgical extrusion of root-fractured teeth--a follow-up study of two surgical methods.

Abstract

Abstract Surgical extrusion of teeth with cervical root fractures was carried out in 58 single roots in 53 patients. Two different approaches were used. In Group I a flap operation with apical exposure and bone transplant above the extruded root was performed. In Group II the roots were extruded by careful marginal luxation, and interdental sutures and surgical dressing were used as retention. The mean observation time was 5.5 years in Group I and 2.4 years in Group II. Apical root shortening‐was seen in 17 roots, although in no case was it progressive in nature. Proportionally, apical resorption was seen more frequently in Group I than in Group II. The results encouraged further use of the method, especially with the simplified surgical approach used in Group II.