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.
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