Multidisciplinary approach to a subgingivally fractured incisor tooth: A case report

Abstract This case report describes a multidisciplinary approach using orthodontic forced eruption to facilitate prosthetic restoration of a subgingivally fractured maxillary permanent central incisor. A 14-year-old male patient presented at the pediatric dental clinic due to unesthetic appareance a...

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Bibliographic Details
Published in:Journal of dental sciences 2017-06, Vol.12 (2), p.190-194
Main Authors: Dede, Doğu Ömür, Tunç, Emine Şen, Güler, Ahmet Umut, Yazicioğlu, Sebahat
Format: Article
Language:English
Subjects:
Advanced Basic Science
all-ceramic crown
Case Report
crown-root fracture
dental trauma
Dentistry
orthodontic extrusion
post core
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Summary:Abstract This case report describes a multidisciplinary approach using orthodontic forced eruption to facilitate prosthetic restoration of a subgingivally fractured maxillary permanent central incisor. A 14-year-old male patient presented at the pediatric dental clinic due to unesthetic appareance and for management of a fractured maxillary right central incisor tooth. Intraoral examination revealed that the maxillary right central incisor had sustained a crown-root fracture with pulp exposure. We treated the tooth endodontically and performed orthodontic root extrusion with a modified Hawley appliance prior to prosthetic rehabilitation. Approximately 2–3 mm of extrusion of the tooth was obtained within 8 weeks. A fiber post was then inserted into the root canal, and final restoration was completed with an all-ceramic crown. Follow-up 18 months after treatment revealed good periodontal health, esthetics and normal function.
ISSN:1991-7902
2213-8862
DOI:10.1016/j.jds.2012.09.019