Surgical Extrusion Technique Update – Alternative to Ortho Extrusion or CLS – PDP249

Do you have a “hopeless” retained root you’re ready to extract? Think implants, dentures, or bridges are the only way forward? What if there’s a way to save that tooth — predictably and biologically? In this episode, Dr. Vala Seif shares his experience with the Surgical Extrusion Technique — a game-changing approach that lets you reposition the root coronally to regain ferrule and restore teeth once thought impossible to save. Jaz and Dr. Seif dive into case selection, atraumatic technique, stabilization, and timing, all guided by Dr. Seif’s own SAFE/SEIF Protocol, developed from over 200 successful cases. https://youtu.be/2TyodqgAP9w Watch PDP249 on YouTube Protrusive Dental Pearl: When checking a ferrule, consider height, thickness, and location of functional load. Upper teeth: prioritize palatal ferrule. Lower teeth: prioritize buccal. Tip: do a partial surgical extrusion, rotate the tooth 180°, then stabilize. Need to Read it? Check out the Full Episode Transcript below! Key Takeaways Surgical extrusion is a technique-sensitive procedure that requires careful planning.Case selection is crucial for the success of surgical extrusion.A crown-root ratio of 1:1 is ideal for surgical extrusion.Patients are often more cooperative when they see surgical extrusion as their last chance to save a tooth.Surgical extrusion can be more efficient than orthodontic extrusion in certain cases.The importance of ferrule in dental restorations cannot be overstated.Proper case selection is crucial for successful outcomes.Atraumatic techniques are essential for preserving tooth structure.The ‘Safe Protocol’ offers a structured approach to surgical extrusion.Patient communication is key to managing expectations.Flowable composite is preferred for tooth fixation post-extraction.Understanding root morphology is important for successful extractions. Highlights of this episode: 00:00 Surgical Extrusion Podcast Teaser01:07 Introduction02:38 Protrusive Dental Pearl05:53 Interview with Dr. Vala Seif08:57 Definition and Philosophy of Surgical Extrusion15:30 Indications, Case Selection, and Root Morphology21:37 Comparing Surgical and Orthodontic Extrusion25:54 Crown Lengthening Drawbacks28:39 Occlusal Considerations33:53 Midroll37:16 Definition and Importance of the Ferrule43:07 Clinical Protocols and Fixation Methods01:00:01 Post-Extrusion Care and Final Restoration01:05:04 Learning More and Final Thoughts01:09:29 Outro Further Learning: Instagram: @extrusionmaster — case examples, papers, and protocol updates.Online and in-person courses in development (Europe + global access). Loved this episode? Don’t miss “How to Save ‘Hopeless’ Teeth with the Surgical Extrusion Technique” – PDP061 #PDPMainEpisodes #OralSurgeryandOralMedicine #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. This episode meets GDC Outcomes C. AGD Subject Code: 310 ORAL AND MAXILLOFACIAL SURGERY Aim: To understand the biological and clinical principles of surgical extrusion as a conservative alternative to orthodontic extrusion or crown lengthening for managing structurally compromised teeth. Dentists will be able to – Identify suitable clinical cases for surgical extrusion, including correct root morphology and crown–root ratios.Describe the step-by-step SAFE Protocol for atraumatic surgical extrusion, fixation, and timing of endodontic treatment.Evaluate the advantages, limitations, and biomechanical considerations of surgical extrusion compared with orthodontic extrusion and crown lengthening. Click below for full episode transcript: Teaser: I always had a problem with extracting teeth. Not a problem technically, ethically. If highly damaged teeth get properly treated and correctly maintained, they are always going to outlive implants. [Teaser]So what I’m referring to here is that the most sophisticated and complicated solutions are not always the smartest one. It’s not about most expensive. It’s not about most advanced. It’s not about most complicated. It’s about the best possible for the patient. We must keep that in mind that there is no such thing as a master key that opens up all of the doors for us. Surgical extrusion, over the years… it actually was presented to dentistry in the early eighties. They were really trying to work on surgical extrusion. And guess who comes out? I have done over 200 cases with a follow-up of up to six, seven years. That is something that you can rely on. In such cases, I take out the tooth and rotate it and put it back in. No way. Jaz’s Introduction: Yeah, so you have a retained root and you think this is hopeless and you’re headed towards an implant, denture, a bridge or whatever. But then this episode comes along and reminds you about the power of the surgical extrusion technique. In plain terms, you are partially extracting the root, and now you have the most important thing in restorative dentistry. You have ...