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Surgical extractions involve the removal of teeth that cannot be easily accessed or removed via simple extraction, for example because they have broken under the gum or because they have not erupted fully, such as an impacted wisdom tooth. [2]
Crown lengthening is a surgical procedure performed by a dentist, or more frequently a periodontist, where more tooth is exposed by removing some of the gingival margin (gum) and supporting bone. [1] Crown lengthening can also be achieved orthodontically (using braces) by extruding the tooth.
In a large-scale study of over 1.6 million patients who had root canal therapy, 97% had retained their teeth 8 years following the procedure, with most untoward events, such as re-treatment, apical surgery or extraction, occurring during the first 3 years after the initial endodontic treatment. [50]
A treatment controversy exists about the need for and timing of the removal of disease-free impacted wisdom teeth. Supporters of early removal cite the increasing risks for extraction over time and the costs of monitoring the wisdom teeth. Supporters for retaining wisdom teeth cite the risk and cost of unnecessary surgery.
The classical tooth transplant technique involves the extraction of the donor tooth and preparation of the recipient site using the donor tooth as a template. [10] The use of surgical template has been proposed to minimise extra-alveolar time for the donor tooth. [10]
The risk of altered sensation is significantly lower than convention surgical removal of mandibular third molars. Approximately 0.65% of individuals encounter postoperative deficits in the Inferior alveolar nerve (IAN) following coronectomy, a significantly lower occurrence compared to the 5.10% observed after conventional extraction procedures.