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

• Main Authors: Doğu Ömür Dede (Author), Emine Şen Tunç (Author), Ahmet Umut Güler (Author), Sebahat Yazicioğlu (Author)
• Format: Book
• Published: Elsevier, 2017-06-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1991-7902; 10.1016/j.jds.2012.09.019
• Keywords: all-ceramic crown; crown-root fracture; dental trauma; orthodontic extrusion; post core; Dentistry; RK1-715
• Source: Journal of Dental Sciences, Vol 12, Iss 2, Pp 190-194 (2017)

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.