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 (https://www.instagram.com/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. 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. 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 Teaser 01:07 Introduction 02:38 Pearl - Importance of Ferrule by Location 05:53 Interview with Dr. Vala Seif 08:57 Definition and Philosophy of Surgical Extrusion 15:30 Indications, Case Selection, and Root Morphology 21:37 Comparing Surgical and Orthodontic Extrusion 25:54 Crown Lengthening Drawbacks 28:39 Occlusal Considerations 33:53 Midroll 37:16 Definition and Importance of the Ferrule 43:07 Clinical Protocols and Fixation Methods 01:00:01 Post-Extrusion Care and Final Restoration 01:05:04 Learning 01:09:29 Outro Further Learning: - Instagram: @extrusionmaster (https://www.instagram.com/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 (https://youtu.be/gXN-2tgxtbU) #PDPMainEpisodes #OralSurgeryandOralMedicine #OrthoRestorative This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance. (https://protrusive.co.uk/ultimate) ----------------------------------- Apply for FREE access to the Nicest and Geekiest Dental Community in the World 🌍 https://protrusive.app - it’s absolutely Free We also have paid plans so you can Claim Verifiable CPD/CE + EXCLUSIVE content: https://protrusive.app 🔊 Subscribe on Apple: https://protrusive.co.uk/apple 🔊 Subscribe on Spotify: https://protrusive.co.uk/spotify 📷 Instagram: https://www.instagram.com/protrusivedental/ Online Courses: 😬 Learn Occlusion Online: https://occlusion.online/ 📚 Learn TMD and Occlusal Appliances: https://www.splintcourse.com 🦷 Gain Confidence with Resin Bonded Bridges: https://rbbmasterclass.com 🎒 Learn Vertipreps, Rubber Dam and More: https://protrusive.co.uk/ultimate Life by KV /kvmusicprod Creative Commons — Attribution 4.0 International — CC BY 4.0 Free Download / Stream: https://www.audiolibrary.com.co/kv/life Music promoted by Audio Library Life – KV (No Copyright Music)