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Cordaro M, Staderini E, Torsello F, Grande NM, Turchi M, Cordaro M. Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:9530. [PMID: 34574454 PMCID: PMC8469087 DOI: 10.3390/ijerph18189530] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/31/2021] [Revised: 08/29/2021] [Accepted: 09/01/2021] [Indexed: 11/16/2022]
Abstract
The need to rehabilitate severely compromised teeth is frequent in daily clinical practice. Tooth extraction and replacement with dental implant represents a common treatment choice. However, the survival rate for implants is inferior to teeth, even if severely damaged but properly treated. In order to reestablish a physiological supracrestal tissue attachment of damaged teeth and to arrange an efficient ferrule effect, three options can be considered: crown lengthening, orthodontic extrusion and surgical extrusion. Crown lengthening is considered an invasive technique that causes the removal of part of the bony support, while both orthodontic and surgical extrusion can avoid this inconvenience and can be used successfully in the treatment of severely damaged teeth. The aim of the present narrative review is to compare advantages, disadvantages, time of therapy required, contraindications and complications of both techniques.
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Affiliation(s)
- Martina Cordaro
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
- Department of Endodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Edoardo Staderini
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Ferruccio Torsello
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Nicola Maria Grande
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Endodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Matteo Turchi
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
| | - Massimo Cordaro
- IRCCS, Fondazione Policlinico Universitario Agostino Gemelli, 00168 Roma, Italy; (M.C.); (F.T.); (N.M.G.); (M.T.); (M.C.)
- Department of Orthodontics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy
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Management and Follow-Up of Complicated Crown Fractures with Intrusive Luxation of Maxillary Incisors in an 8-Year-Old Boy. Case Rep Dent 2021; 2021:5540860. [PMID: 34123434 PMCID: PMC8166499 DOI: 10.1155/2021/5540860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2021] [Revised: 04/14/2021] [Accepted: 05/13/2021] [Indexed: 11/22/2022] Open
Abstract
Intrusive luxation is a severe form of dental injury which causes damage to the pulp and supporting structures of a tooth because of its dislocation into the alveolar process. This paper shows the case of the reeruption of maxillary incisors accompanied by complicated crown fractures after 3 months. An 8-year-old boy patient was referred to the Department of Pedodontic Dentistry of Tehran University of Medical Science, Tehran, Iran, 18 hours after a fall at school. Clinical and radiographic examinations revealed intrusive luxation of both incisors with complicated crown fractures. Cervical pulpotomy is the treatment of choice for traumatized immature intruded teeth with pulp exposure. Two months later, the right central incisor teeth reerupted to a normal position and the final aesthetic restorations were done. The left central incisor was spontaneously repositioned with external root resorption, and the team decided to use interim medication (calcium hydroxide) in the root canal for stopping the process of resorption, and by the 9-month follow-up, the process of resorption had been stopped. An MTA plug was placed into the canal, and the final esthetic restorations were done.
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Liu Y, Qin R, Zaat SAJ, Breukink E, Heger M. Antibacterial photodynamic therapy: overview of a promising approach to fight antibiotic-resistant bacterial infections. J Clin Transl Res 2015; 1:140-167. [PMID: 30873451 PMCID: PMC6410618] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2015] [Revised: 11/22/2015] [Accepted: 12/28/2015] [Indexed: 10/28/2022] Open
Abstract
Antibacterial photodynamic therapy (APDT) has drawn increasing attention from the scientific society for its potential to effectively kill multidrug-resistant pathogenic bacteria and for its low tendency to induce drug resistance that bacteria can rapidly develop against traditional antibiotic therapy. The review summarizes the mechanism of action of APDT, the photosensitizers, the barriers to PS localization, the targets, the in vitro-, in vivo-, and clinical evidence, the current developments in terms of treating Gram-positive and Gram-negative bacteria, the limitations, as well as future perspectives. Relevance for patients: A structured overview of all important aspects of APDT is provided in the context of resistant bacterial species. The information presented is relevant and accessible for scientists as well as clinicians, whose joint effort is required to ensure that this technology benefits patients in the post-antibiotic era.
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Affiliation(s)
- Yao Liu
- Department of Membrane Biochemistry and Biophysics, Utrecht University, the Netherlands
| | - Rong Qin
- Department of Membrane Biochemistry and Biophysics, Utrecht University, the Netherlands
| | - Sebastian A. J. Zaat
- Department of Medical Microbiology, Academic Medical Center, University of Amsterdam, the Netherlands
| | - Eefjan Breukink
- Department of Membrane Biochemistry and Biophysics, Utrecht University, the Netherlands
| | - Michal Heger
- Department of Membrane Biochemistry and Biophysics, Utrecht University, the Netherlands, Department of Experimental Surgery, Academic Medical Center, University of Amsterdam, the Netherlands
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