How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique – PDP061

No Ferrule? No problem! Dr Peter Raftery, Endodontist, discusses the contemporary use of the ‘Surgical Extrusion Technique’ to make hopeless teeth restorable. Crazy, I know, so take a listen because the science makes sense! https://youtu.be/gXN-2tgxtbU All the way back in Episode 9 with Dr Aws Alani (Restorability with a Restorative Specialist) we briefly mentioned this technique in passing…which led to a cascade in events and Dr Raftery reached out to me with enthusiasm because I called out to the audience if they knew anyone using this technique! I love that! Essentially you are (gently!) extracting a tooth and then intentionally re-implanting the tooth, except this time you are going to be a little greedy and ‘grab’ some ferrule. Then, a customary Root Canal Treatment 2 weeks afterwards, and you have yourself a restorable tooth. As someone who loves saving teeth, this is just fantastic. We know the science works because we DO re-implant dirty, grotty avulsed incisors of 12 year olds with some decent success rates. Protrusive Dental Pearl: have you used Viscostat clear? It is my preferred astringent and will not interfere with bonding How to restore teeth which appear to be restoratively hopeless aka no Ferrule Compared to SCL or Ortho extrusion – could this be more cost effective and less invasive? Surgical Extrusion technique – either with humble luxator or a posh Benex device I will have to add the resources later – right now I am running late for work!