Fig. 1

Patient presented with than situation after Endo treatment

Fig. 2

Margin cleaning & Isolation and sandblasting for better bonding

Fig. 3

Extrusion of the tooth by the force of the button & the power chain - buccal view

Fig. 4

Extrusion of the tooth by the force of the button & the power chain - occlusal view

Fig. 5

Lateral view for the tooth after gaining the ferrule with enough clearance 

Fig. 6

Occlusal view for the tooth after gaining the ferrule with enough clearance

Fig. 7

Different views for the final crown after delivery and perfect soft tissue condition.  

Conclusions

The Clinician must have a knowledge about different methods to give the chance for saving teeth and to compare the cost and benefit of saving teeth in such conditions.

Bibliography

Cordaro M, Staderini E, Torsello F, Grande NM, Turchi M, Cordaro M. Orthodontic Extrusion vs. Surgical Extrusion to Rehabilitate Severely Damaged Teeth: A Literature Review. Int J Environ Res Public Health. 2021;18(18).

Bruhnke M, Beuer F, Böse MWH, Naumann M. Forced orthodontic extrusion to restore extensively damaged anterior and premolar teeth as abutments for single-crown restorations: Up to 5-year results from a pilot clinical study. J Prosthet Dent. 2023 Jan;129(1):61-68. doi: 10.1016/j.prosdent.2022.08.033. Epub 2022 Dec 17. PMID: 36535882.

Bruhnke M, Bitter K, Beuer F, Böse MWH, Neumeyer S, Naumann M. Tooth preservation of deeply destroyed teeth by forced orthodontic extrusion: A case series. Quintessence Int. 2022 May 11;53(6):522-531. doi: 10.3290/j.qi.b2644901. PMID: 35119237.