Surgical Extrusion Technique Update - Alternative to Ortho Extrusion or CLS

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.

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. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.