Fractured tooth to alveolar crest, what is the best way to produce ferrule effect:
- A- restore with amalgam core sub-gingival.
- B- crown lengthening
- C- extrusion with orthodontics ***
Answer C is correct.
Here's a breakdown of the potential options you listed:
A. Restore with amalgam core sub-gingival:
While amalgam can provide structural support, it might not always create a sufficient ferrule, especially for anterior teeth. Additionally, placing amalgam below the gum line carries a higher risk of complications like microleakage and future gum recession.
B. Crown lengthening:
This procedure surgically exposes more tooth structure above the gum line, allowing for a better ferrule. It's a good option for teeth with sufficient bone support and where aesthetics are not the primary concern.
C. Extrusion with orthodontics:
This technique gradually moves the tooth out of the bone, exposing more structure for a ferrule. It's a conservative approach that maintains the existing bone and often offers better aesthetics, but it takes longer and requires patient compliance.
Ultimately, the best approach depends on the specific details of the case. Consulting a dentist will provide you with a precise diagnosis and the most suitable treatment plan for achieving the desired ferrule effect for your fractured tooth.
