Surgical extrusion: state of the art and literature review


Submitted: 10 February 2023
Accepted: 19 February 2023
Published: 20 February 2023
Abstract Views: 156
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Authors

  • G Sangiovanni Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy.
  • F Giordano Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy.
  • A Acerra Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy.
  • A Chiacchio Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, University of Salerno, Baronissi, Italy.
  • A Valletta Department of Neuroscience, Reproductive Science and Dental Science, University of Naples Federico II, Naples, Italy.

Aim Surgical extrusion, also known as intra-alveolar transplantation or intra-alveolar repositioning, is instead defined as the procedure in which the remaining tooth structure is repositioned in a more coronal/supragingival position in the same socket where the element was originally located. Therefore, the present systematic review aimed to describe the indications and results obtained by surgical extrusion technique, analyzing the recent literature. 

Materials and Methods To perform this review articles were electronically searched in PubMed/MEDLINE, the COCHRANE library and Google Scholar by two independent reviewers, and those that met the eligibility criteria were included. 

Results 26 articles were included in the qualitative analysis, 14 case reports and 12 case series. The survival rate reported was 100% with documented follow-up from one year to 10 years.

Discussion Surgical extrusion technique is a valid therapeutic alternative in cases of fractured teeth and intruders due to trauma or  in cases of teeth with coronal-root fracture, surgical extrusion was an effective and predictable technique.

Conclusions This surgical technique combined, with modern adhesive techniques and the latest generation materials, allows for highly predictable results from the functional and aesthetic aspects, especially in the anterior region.


Sangiovanni, G., Giordano, F., Acerra, A., Chiacchio, A., & Valletta, A. (2023). Surgical extrusion: state of the art and literature review. Journal of Osseointegration, 15(2), 83–90. https://doi.org/10.23805/JO.2023.15.01.12

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