Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2018 | Month : July | Volume : 12 | Issue : 7 | Page : ZD04 - ZD05

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

Roberto Pippi, Rita Colaci, Alessandra Pietrantoni

1. Associate Professor, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy. 2. Resident, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy. 3. Resident, Department of Oral and Maxillo Facial Sciences, Sapienza, University of Rome, Rome, Italy.

Correspondence Address :
Dr. Roberto Pippi,
Via Caserta 6, Rome, Italy.
E-mail: roberto.pippi@uniroma1.it

Abstract

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 patientís 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.

Keywords

Elevator, Incision, Tooth fracture

How to cite this article :

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 [serial online] 2018 July [cited: 2018 Aug 15 ]; 12:ZD04-ZD05. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=July&volume=12&issue=7&page=ZD04-ZD05&id=11725

DOI and Others

DOI: 10.7860/JCDR/2018/35501.11725

Date of Submission: Jan 08, 2018
Date of Peer Review: Mar 28, 2018
Date of Acceptance: May 16, 2018
Date of Publishing: Jul 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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