Esthetic rehabilitation of complicated crown fractures utilizing rapid orthodontic extrusion and two different restoration modalities.

Sladana Milardovic Ortolan,Lana Bergman,Ketij Mehulic,Mihovil Strujic,Andrej Aurer,Josko Viskic

doi:10.5005/jp-journals-10005-1136

Sladana Milardovic Ortolan, Lana Bergman + Show 4 more

Open Access

https://doi.org/10.5005/jp-journals-10005-1136

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Abstract

ABSTRACTThis case report describes the management of a crown-root fractured maxillary right central incisor and a crown fractured maxillary left central incisor using two different techniques.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 right incisor was restored prosthodontically. Prosthetic treatment was based on performing a post and core, and all-ceramic crown on the extruded tooth. The left, less-damaged incisor was restored directly using composite resin.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.How to cite this article: Ortolan SM, Strujic M, Aurer A, Viskic J, Bergman L, Mehulic K. Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities. Int J Clin Pediatr Dent 2012;5(1):64-67.

Highlights

Complicated crown fractures involve enamel, dentine and the pulp, whereby the most commonly affected tooth is the maxillary central incisor
If the fracture line is positioned below gingival-free margin, and if the length of the apical root is sufficient enough to support a coronal restoration, the root can be orthodontically extruded to elevate the fracture plane above the gingival margin and allow for a ferrule effect.[6,7,8,9]
Berglundh et al demonstrated that repeated fiberotomy led to pronounced recession of the gingival margin and extensive loss of the connective tissue attachment.[14]

Summary

Introduction

Complicated crown fractures involve enamel, dentine and the pulp, whereby the most commonly affected tooth is the maxillary central incisor. Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities. A multidisciplinary treatment of complicated fractures of both maxillary central incisors in a 12-year-old boy is presented.

Results

Conclusion