Tooth Preservation・Minimal ExtractionsTooth Preservation Treatment

At TOTAL TOOTH TREATMENT AKASAKA, we make every effort to preserve your natural teeth.

• You have been told that you need an extraction due to a crack in the tooth
• You have been told that you need an extraction because of extensive decay
• Want to save a tooth that is growing at an angle

Are you facing any of these issues? Your tooth might still be salvageable. We make a maximum effort using the following methods to preserve and protect your natural teeth that might otherwise be considered for extraction.

Extrusion (Root Extrusion Surgery)

What is extrusion?

Extrusion is suitable for cases where a tooth has broken off, where only the root remains after a crown has come off, or where the root is intact but the tooth has fractured near the base.

Treatment Method

The procedure involves applying orthodontic forces to gradually expose the tooth root from the gum over time. This allows the tooth to emerge from the gum gradually. Once the desired height is achieved, further treatment includes reinforcing the root or taking impressions for a new crown.

Benefits

• Your natural tooth can be preserved
• Extraction is avoided and further treatment is possible
• Maintains a good appearance due to the preserved root

Disadvantages

• Requires a lengthy treatment period
• Involves surgical procedures
• Higher costs due to a private treatment

Crown Lengthening Procedure

What is Crown Lengthening Procedure?

Crown lengthening is performed when there is insufficient tooth structure above the gum for placing a crown. This procedure involves cutting back the gum tissue to allow the crown to be placed in a way that is both aesthetically and functionally optimal. Placing a crown over a tooth partially covered by gum increases the risk of bacteria entering the gum, leading to inflammation or the crown becoming dislodged.

Benefits

• Improved oral hygiene by easier tooth brushing
• Better fit of the teeth and crown

Disadvantages

• Requires surgical intervention
• Higher costs due to a private treatment

Intentional Replantation

What is Intentional Replantation?

Intentional replantation is a treatment method used when a tooth has issues such as vertical fractures. The procedure involves extracting the problematic tooth, treating it outside the mouth, and then replanting it back into its original socket.

Benefits

• Allows to use your natural tooth for longer period
• Increases the chance of preserving your own tooth

Disadvantages

• The tooth may not be successfully replanted and could be lost
• Higher costs due to a private treatment

Tooth Transplantation

What is Tooth Transplantation?

Tooth transplantation is a procedure where a healthy tooth that has been lost due to cavities or periodontal disease to transplant back to the original place. Since the transplanted tooth is from your own body, it is less likely to cause rejection. The success of the transplant is higher if the periodontal ligament attached to the root surface remains intact.

Benefits

• Utilizes your own tooth effectively
• Lower risk of rejection as the tooth is from your own body

Disadvantages

• Difficult if the size of the tooth does not fit
• Requires surgical intervention
• Higher costs due to a private treatment