CASE STUDY “Teeth that are badly decayed or experience fractures are sometimes condemned to removal when they could still be predictably restored. Forced eruption is a conservative option that leaves other treatment choices available should it not prove successful.” prove successful. Case selection is important. Being sure to have adequate crown to root ratio at completion is important. Other options may either be costlier 17 or be esthetically less predictable, 18 and take you further down the decision tree of choices. In many situations, crown lengthening surgery would be a viable choice, however if the tooth is positioned in the anterior, the forced eruption may be a more esthetic choice. If a tooth were to fail after forced eruption, extraction and replace-ment with an implant could still be accomplished. A traditional bridge is also a valid choice. Again, it could be used if the tooth were to fail, but with consequences to the soft tissue contours. Forced eruption, done carefully, will leave the gingival contours relatively unaffected. Forced eruption is a good first option, often overlooked, that can be followed up with more invasive solutions if treatment needs to be revisited. cated crown-root incisor fractures,” British Dental Journal, 11 Nov. 2000, pp.477-478. 3. Emerich-Poplatek K, et al “Forced erup-tion after crown/root fracture with a simple and aesthetic method using the fractured crown”. Dental Traumatology, 2005; 21: pp. 165–169. 4. Juloski, Jelena DDS, et al. “Ferrule Effect: A Literature Review” Journal of Endodon-tics, Jan. 2012 pp. 11-19. 5. Potashnick, S.R. DDS and E.S. Rosenberg, BDS. “Forced Eruption: Principles in peri-odontics and restorative dentistry.” Jour-nal of Prosthetic Dentistry, Aug 1982, pp. 141-148. 6. Proffit , William R. Contemporary Orthodontics . C.V. Mosby, 1986. 7. Spear, Frank, DDS “Biologic Width Part I: Fundamental Concepts” www.spearedu-cation.com March 30, 2017, http://www.speareduca-tion.com/spear-review/2014/ 12/biologic-width-part 8. Potashnick, S.R. DDS and E.S. Rosenberg, BDS. “Forced Eruption: Principles in peri-odontics and restorative dentistry.” Jour-nal of Prosthetic Dentistry, Aug 1982, pp. 141-148. 9. Juloski, Jelena DDS, et al. “Ferrule Effect: A Literature Review” Journal of Endodon-tics, Jan. 2012 pp. 11-19. 10. Fundamentals of Fixed Prosthodontics Third Edition, Shillingburg, Hobo, Whit-sett, Jacobi, and Brackett, 1997. 11. Juloski, Jelena DDS, et al. “Ferrule Effect: A Literature Review” Journal of Endodon-tics, Jan. 2012 pp. 11-19. 12. Brown, G. J., and R. R.Welbury, “Root extrusion, a practical solution in compli-cated crown-root incisor fractures,” British Dental Journal, 11 Nov. 2000, pp.477-478. 13. Koyuturk AE, and S. Malkoc. “Orthodon-tic extrusion of subgingivally fractured incisor before restoration. A case report: 3-years follow-up”. Dental Traumatology 2005; 21: 174–178 14. Brown, G. J., and R. R.Welbury, “Root extrusion, a practical solution in compli-cated crown-root incisor fractures,” British Dental Journal, 11 Nov. 2000, pp.477-478. 15. Oesterle, Larry J. DDS. MS, and Leighton W. Wood, DDS, MS. “Raising the Root: A Look at Orthodontic Extrusion.” Journal of the American Dental Association, July 1991, pp.193-198. 16. Emerich-Poplatek K, et al “Forced erup-tion after crown/root fracture with a simple and aesthetic method using the fractured crown”. Dental Traumatology, 2005; 21: pp. 165–169. 17. Brown, G. J., and R. R.Welbury, “Root extrusion, a practical solution in compli-cated crown-root incisor fractures,” British Dental Journal, 11 Nov. 2000, pp.477-478. 18. Oesterle, Larry J. DDS. MS, and Leighton W. Wood, DDS, MS. “Raising the Root: A Look at Orthodontic Extrusion.” Journal of the American Dental Association, July 1991, pp.193-198 Fig. 20 References 1. Oesterle, Larry J. DDS. MS, and Leighton W. Wood, DDS, MS. “Raising the Root: A Look at Orthodontic Extrusion.” Journal of the American Dental Association, July 1991, pp.193-198. 2. Brown, G. J., and R. R.Welbury, “Root extrusion, a practical solution in compli-www.orthodontics.com Winter 2019 15
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