The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management

Different techniques have been proposed for the removal of the apical portion of fractured teeth. The window approach was proposed in the past to remove a tooth root fragment through a buccal bone opening at the level of fragment. In the classical approach, a marginal triangular flap is elevated, on...

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Main Authors: Roberto Pippi, Rita Colaci, Alessandra Pietrantoni
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2018-07-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/11725/35501_CE[Ra]_F(Sh_OM)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdf
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author Roberto Pippi
Rita Colaci
Alessandra Pietrantoni
author_facet Roberto Pippi
Rita Colaci
Alessandra Pietrantoni
author_sort Roberto Pippi
collection DOAJ
description Different techniques have been proposed for the removal of the apical portion of fractured teeth. The window approach was proposed in the past to remove a tooth root fragment through a buccal bone opening at the level of fragment. In the classical approach, a marginal triangular flap is elevated, only the bone overlying the fractured apex is removed and then the apex is pushed out by an elevator toward the alveolar crest. In this technique, the bone removal is minimal, and it does not involve the marginal bone so that patient’s post-surgical discomfort is reduced, and bone resorption is less. A different kind of soft tissue management for bone exposure is proposed here with a simple linear incision at the level of the root apex without any vertical incision. This kind of incision is simple and versatile, leads to a lesser discomfort to the patient and avoids un-aesthetic scar.
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spelling doaj.art-4fcb8035555b41178d4ea736c72bd8fb2022-12-22T03:48:18ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2018-07-01127ZD04ZD0510.7860/JCDR/2018/35501.11725The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue ManagementRoberto Pippi0Rita Colaci1Alessandra Pietrantoni2Associate Professor, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy.Resident, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy.Resident, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy.Different techniques have been proposed for the removal of the apical portion of fractured teeth. The window approach was proposed in the past to remove a tooth root fragment through a buccal bone opening at the level of fragment. In the classical approach, a marginal triangular flap is elevated, only the bone overlying the fractured apex is removed and then the apex is pushed out by an elevator toward the alveolar crest. In this technique, the bone removal is minimal, and it does not involve the marginal bone so that patient’s post-surgical discomfort is reduced, and bone resorption is less. A different kind of soft tissue management for bone exposure is proposed here with a simple linear incision at the level of the root apex without any vertical incision. This kind of incision is simple and versatile, leads to a lesser discomfort to the patient and avoids un-aesthetic scar.https://jcdr.net/articles/PDF/11725/35501_CE[Ra]_F(Sh_OM)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdfelevatorincisiontooth fracture
spellingShingle Roberto Pippi
Rita Colaci
Alessandra Pietrantoni
The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
Journal of Clinical and Diagnostic Research
elevator
incision
tooth fracture
title The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
title_full The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
title_fullStr The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
title_full_unstemmed The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
title_short The Window Approach for Extraction of Tooth Root Fragments: A Different Soft Tissue Management
title_sort window approach for extraction of tooth root fragments a different soft tissue management
topic elevator
incision
tooth fracture
url https://jcdr.net/articles/PDF/11725/35501_CE[Ra]_F(Sh_OM)_PF1(MJ_AP)_PFA(MJ_AP)_PB(MJ_AP)_PN(AP).pdf
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