Forced eruption - Courtesy ROOTS
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From: Marga Ree
Sent: Friday, June 08, 2012 2:12 AM
Subject: [roots] Forced eruption
I treated this patient 8 years ago. History of apical surgery on 11,
persistent complaints after surgery and rct. Her dentist recommended
extraction of both incisors, and she wanteda second opinion. We removed
the crowns, applied MTA and used the existing crowns as temporaries.
In the next session fiber posts were placed and the crowns were used as
moulds for new build-ups of composite. So far, so good..
She returned after 1 year, the endos were successful, her complaints
had disappeared. However, there was a problem with the crown on 21.
The crown was loose For an unknown reason, her dentist had removed the
fiber post, placed a metal post and prepped the crown margin
3 mm subgingivally. The build- up was prepped away almost completely,
there was no retention and resistance. The crown on 21 had been
re-cemented several times.
The patient was not satisfied with her crowns, and she asked what
could be done.. We decided to do a forced eruption, there was no
ferrule on 21. I placed a new fiber post and a new build- up.
my husband did the ortho and made new crowns for her, this time
with a proper occlusion. The old crowns were way to thick with heavy
A few weeks ago she came for a long- term recall, 8 years after
finishing retreatment and 7 years after the new crowns were made.
There are still in place without any problems. The condition of the
gingiva could be improved, but the gingivitis was not only limited
to her 2 centrals. She is still very happy with the result. - Marga