Orthodontic Extrusion as an Aid for Restoring Extensively Destroyed Teeth and Preserving Implant Site Creation: A Case Series

Preserving questionable maxillary teeth for aesthetics is challenging for many practitioners. This report presents the clinical and radiographic results of an orthodontic extrusion technique for clinical crown lengthening of female patients' maxillary teeth to increase the restorability of teeth. Splinting was carried out by using specially designed hucks cast with custom-made post joined with orthodontic brackets with adjusting teeth. Teeth were carefully extruded to the desired level without harming the marginal bone areas or root apices. Clinical follow-up evaluations were performed for 3 months before construction of the final prosthesis. Intra-oral radiographs showed normal periodontal contour consistent with new bone formation in the periapical area of all cases, with no evidence of root or crestal bone resorption or endodontic problems. This technique is highly recommended in the aesthetic area of the maxillary arch.