J Interdiscip Dentistry
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CASE REPORT
Year : 2011  |  Volume : 1  |  Issue : 1  |  Page : 49-54

Management of subgingivally fractured teeth: A multidisciplinary approach


1 Departments of Orthodontics and Dentofacial Orthopedics, A.M.E's Dental College, Hospital and Research Center, Raichur, Karnataka, India
2 Department of Conservative Dentistry and Endodontics, A.M.E's Dental College, Hospital and Research Center, Raichur, Karnataka, India

Correspondence Address:
Raghu Devanna
Departments of Orthodontics and Dentofacial Orthopedics, A.M.E's Dental College, Hospital and Research Center, Raichur, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5194.77209

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The interdisciplinary treatment is becoming an ever-increasing part of modern-day orthodontic practice. Subgingivally fractured incisors pose a true therapeutic dilemma to the dental team. Attempts to expose the fracture line by alveolar re-contouring and periodontal procedures may compromise the functional root length and esthetics. Placing the margin of the restoration in the biologic width frequently leads to chronic gingivitis, the loss of clinical attachment, pockets and gingival recessions. Controlled orthodontic extrusion is considered as the easiest orthodontic tooth movement to expose the fracture line, which can produce excellent results with a good prognosis and a low risk of relapse. This case report describes in detail the chosen treatment for subgingivally fractured permanent incisors and is followed by a discussion of the considerations involved in the choice of treatment.


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