Tooth Decay
Conditions
Keywords
extrusion
Brief summary
This is a prospective study in which surgical extrusion of single-rooted teeth is carried out by the same operator in 15 consecutive patients. Main objective: to evaluate the soft tissue rebound of the teeth 1 year after the surgery. Null hypothesis (H0): surgical extrusion is not a predictable treatment for the restoration of single rooted teeth.
Interventions
Surgically coronal reposition of the tooth
Sponsors
Study design
Eligibility
Inclusion criteria
* Systemically and periodontally healthy, non-smoking patients. * Single-rooted, straight teeth with insufficient ferrule, which require restorative treatment. * Teeth with a favorable crown-root ratio.
Exclusion criteria
* Severe systemic disease patients (American Society of Anesthesiologists classification 1 or 2). * Multi-rooted, curved and/or short teeth. * Teeth with an uncontrolled periodontal pathology. * Pregnant women. * Teeth with types ll or lll mobility.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Soft tissue rebound | 12 months after the surgical extrusion | mm |
| Tooth mobility (Miller classification) | 12 months after the surgical extrusion | mm |
| Periapical lesion occurrence | 12 months after the surgical extrusion | Assessed as the presence or not of a radiolucency at periapical radiograph (yes/no) |
| Patient's response to pain or discomfort at percussion test | 12 months after the surgical extrusion | Patient's response measured by yes/no |
| Patient's response to pain or discomfort at palpation test | 12 months after the surgical extrusion | Patient's response measured by yes/no |
| Root resorption occurrence | 12 months after the surgical extrusion | Assessed as the presence or not of an inflammatory root resorption and a replacement root resorption at periapical radiograph |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Periodontal probing | 12 months after the surgical extrusion | mm |
| Patient's satisfaction | 12 months after the surgical extrusion | Measured visually using a visual analogue scale, in which the best score is 0 (highest level of patient's satisfaction) and the worst score is 10 (lowest level of patient's satisfaction). |
| Gum bleeding on periodontal probing (yes/no) | 12 months after the surgical extrusion | Visual |
| Tooth plaque quantity | 12 months after the surgical extrusion | Measured visually according to Turesky plaque index, in which the best score is 0 (no plaque) and the worst score is 5 (plaque covering 2/3 or more the crown of the tooth). |
| Interproximal papillae height | 12 months after the surgical extrusion | Measured visually according to Jemt's index, in which the best score is 3 (interproximal space completely occupied) and the worst score is 0 (absent interproximal papilla). |
| Marginal bone loss | 12 months after the surgical extrusion | mm |
| Crown-root ratio | 12 months after the surgical extrusion | mm |
Countries
Spain