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

Dede D. O., Tunc E. S., GÜLER A. U., Yazicioglu S.

JOURNAL OF DENTAL SCIENCES, no.2, pp.190-194, 2017 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Publication Date: 2017
  • Doi Number: 10.1016/j.jds.2012.09.019
  • Journal Name: JOURNAL OF DENTAL SCIENCES
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.190-194
  • Keywords: all-ceramic crown, crown-root fracture, dental trauma, orthodontic extrusion, post core, CROWN-ROOT FRACTURE, RESTORATIVE CONSIDERATIONS, ORTHODONTIC EXTRUSION, FORCED ERUPTION, TEETH, MANAGEMENT
  • Ondokuz Mayıs University Affiliated: Yes

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. (C) 2017 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V.