Tag: Multidisciplinary treatment

Restoring smiles: Orthodontic extrusion for a tooth that has become ankylosed due to trauma.

Restoring smiles: Orthodontic extrusion for a tooth that has become ankylosed due to trauma.

Introduction: Dental trauma can result in various complications, and one of the potential outcomes is tooth ankylosis, where a tooth becomes fused to the surrounding bone after an injury. This condition can lead to misalignment and aesthetic concerns. In this blog post, we’ll explore the concept of orthodontic extrusion as a method to restore an ankylosed tooth and bring back a smile that was affected by trauma.

Understanding Ankylosed Teeth:

Ankylosis is a dental condition where a tooth’s root fuses with the surrounding bone, preventing normal movement. This often occurs as a response to trauma, where the periodontal ligament is damaged and the tooth loses its ability to naturally maintain its position.

The Role of Orthodontic Extrusion:

Orthodontic extrusion is a specialized technique used to carefully move a tooth that has been ankylosed back into its proper position. This method involves applying controlled forces to gradually pull the tooth out of the bone over a period of time. This is often supplemented with surgical subluxation to help with orthodontic tooth movement. Surgical subluxation is the term for controlled and careful application of force using forceps and elevators to help with orthodontic extrusion.

The Orthodontic Extrusion Process:

  1. Assessment: The first step involves a thorough examination, which may include X-rays and scans to determine the extent of ankylosis and the tooth’s current position.
  2. Treatment Planning: Based on the assessment, an orthodontist will create a customized treatment plan. This plan will outline the forces, duration, and adjustments needed for the orthodontic appliance. Sometimes we would have to undertake endodontic treatment or surgical assistance in extrusion, which requires joint team effort from different specialities
  3. Placement of Appliance: An orthodontic appliance, such as braces or aligners, will be attached to the affected tooth. These appliances are designed to exert gentle and controlled forces on the tooth to encourage its gradual movement.
  4. Regular Adjustments: Throughout the treatment period, the orthodontist will schedule regular appointments to make adjustments to the appliance. These adjustments ensure that the forces are applied correctly and effectively.
  5. Monitoring Progress: The progress of the orthodontic extrusion will be closely monitored to ensure that the tooth is moving as intended and that the bone is responding appropriately.
  6. Retention: After the tooth reaches its desired position, a period of retention follows. This allows the surrounding tissues to stabilize and prevent relapse.

Benefits of Orthodontic Extrusion:

  1. Preservation of Natural Tooth: Orthodontic extrusion aims to save the natural tooth, which is often preferred over extraction.
  2. Aesthetic Restoration: Restoring the ankylosed tooth’s position can greatly improve the appearance of the smile, boosting the patient’s confidence.
  3. Functionality: Properly aligned teeth contribute to better bite function and overall oral health.

Considerations and Potential Risks:

Orthodontic extrusion is a specialized procedure that requires careful planning and execution. Risks can include root resorption, gum inflammation, and potential relapse if retention protocols aren’t followed.

Case presentation:

Title: An 81-Year-Old’s Remarkable Smile Journey

Chapter 1: A Fall, An Awakening In the sun-soaked landscapes of Cyprus, a fall led an 81-year-old on an unexpected journey. What seemed like a stumble would soon become a turning point in her life.

Chapter 2: A Smile Fades Four months passed, and her smile began to change. A tooth shifted, ankylosed by the fall’s impact. The mirror showed a reflection she didn’t recognize—a smile that dimmed with time.

Chapter 3: Seeking a Guide Determined to restore her radiance, she found hope in Dr. Vinay Belur, an empathetic orthodontist. His expertise was matched only by his compassion, a perfect partner for her journey.

Chapter 4: Embracing the Challenge Age became her inspiration, not a limitation. Dr. Belur crafted a personalized plan, merging his skill with her determination. Orthodontic treatment emerged as a beacon of hope.

Chapter 5: The Path Unfolds Orthodontic treatment began, each step a testament to her resolve and Dr. Belur’s expertise. The once-lost tooth found its way back, guided by the hands of care and precision.

Chapter 6: A Surgical Turn Surgical subluxation became the turning point, gently coaxing the tooth into alignment. A pivotal moment in her journey, orchestrated by skill and determination.

Chapter 7: Radiance Restored Weeks turned the transformation evident. A smile once lost, now found, sparkled anew. It wasn’t just teeth aligning, but a spirit reclaiming its identity.

Chapter 8: A Heartfelt Gratitude The mirror now reflected the smile she missed. Overwhelmed by the outcome, she felt gratitude for Dr. Belur’s unwavering support. A connection forged, hearts united in success.

And so, the story concludes—not merely a tale of teeth, but of resilience. An 81-year-old’s journey to reclaim her smile is an inspiration—age knows no bounds, and happiness knows no limits. A reminder that every smile has a story, and every story echoes the power of care and determination. 🌟👵🦷 #AgelessSmileJourney #DeterminationUnveiled #ResilienceInSmiles







Orthodontic extrusion offers a promising solution for individuals who have experienced dental trauma leading to tooth ankylosis. By leveraging controlled forces and orthodontic techniques, orthodontists can gradually guide the ankylosed tooth back into its proper position. If you or someone you know has an ankylosed tooth due to trauma, consult an experienced orthodontist to explore whether orthodontic extrusion could be the right path toward restoring a confident smile.