Abstract
INTRODUCTION: Complicated crown fractures involve enamel, dentine and the pulp, whereby the most commonly affected tooth is the maxillary central incisor. Fractures of anterior teeth cause not only esthetic and functional, but also psychological problems. Various treatment modalities are available depending upon the clinical, physiological and radiographic status of the involved tooth. In complex cases, a combination of endodontic, periodontal, orthodontic and restorative procedures may be required.
CASE DISCUSSION: This case report describes the management of a crown fracture of maxillary left central incisor. A complex procedure was designed to manage this case including orthodontic extrusion to move the fracture line above the alveolar bone and surgical recontouring of the altered gingival margin. Finally, the tooth was restored prosthodontically. Prosthodontic treatment was based on performing post and core and all ceramic crown on the extruded tooth.
CONCLUSION: The treatment resulted in good esthetics and secured periodontal health. This case report demonstrates that a multidisciplinary treatment approach is a reliable and predictable option to save a tooth.
References
1. Fidel SR et al. Clinical management of a complicated crown-root fracture: a case report. Braz Dent J. 2011;22(3):258-62.
2. Subbiya A and Murali RV. Management of subgingival fracture by an esthetic approach. J Conserv Dent. 2011 Jul;14(3):318-21.
3. Kondapuram Seshu MRand Gash CL. Multidisciplinary management of a fractured premolar: a case report with followup. Case Rep Dent. 2012;2012:192912.
4. Villat C, Machtou P, Naulin-Ifi C. Multidisciplinary approach to the immediate esthetic repair and long-term treatment of an oblique crown–root fracture. Dent Traumatol 2004;20: 56–60.
5. Terata R, Minami K, Kubota M. Conservative treatment for root fracture located very close to gingiva. Dent Traumatol 2005;21:111–14.
6. Simon JHS. Root extrusion. Rationale and techniques. DentClin North Am 1984;28:909–21.
7. Simon JHS, Kelly WH, Gordon DG, Ericksen GW. Extrusion of endodontically treated teeth. JADA 1978;97:17–23.
8. Stern N, Becker A. Forced eruption: biological and clinical considerations. J Oral Rehabil 1980;7:395–402.
9. Malmgren O, Malmgren E, Frykholm A. Rapid orthodontic extrusion of crown root and cervical root fractured teeth. Endod Dent Traumatol 1991;7:49–54.
10. Rutuja v chopade et al. An evaluation and comparison of shear bond strength of two adhesive systems to enamel and dentin: an in vitro study Journal of international oral health 2016; 8(1):86-89.
Corresponding Author
Dr Rutuja Chopade
MDS, Assistant Professor, Department of Conservative Dentistry & Endodontics
Bharati Vidyapeeth Dental College and Hospital Sangli, Maharashtra
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: http://dx.doi.org/10.18535/jmscr/v4i3.18
