J Interdiscip Dentistry
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CASE REPORT
Year : 2017  |  Volume : 7  |  Issue : 1  |  Page : 38-40

Multidisciplinary approach for esthetic management of crown-root fracture: Orthodontic extrusion and prosthetic rehabilitation


Conservative Dentistry and Endodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Correspondence Address:
Shreya Sharma
Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jid.jid_58_15

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Fracture of anterior teeth poses functional as well as esthetic implications. Subgingival fractures are often treated by extraction of tooth followed by implant placement or a conventional fixed partial denture due to absence of adequate ferrule at the fracture site. Orthodontic extrusion/forced eruption can aid in the traction of fractured plane coronal to the gingival level, providing enough tooth structure for prosthetic rehabilitation. Since the surrounding periodontium also remodel during tooth extrusion, periodontal intervention may be required for their recontouring leading to a more esthetic final result. Endodontics need to be carried out when the pulp is involved due to traumatic injury. This kind of multidisciplinary approach can save many teeth with subgingival fracture from extraction. It can save the patient from the stress of extraction, especially at young age.


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