Multidisciplinary approach for cervical crown fracture: Orthodontic extrusion followed by prosthetic rehabilitation

Abstract

Introduction: Fractured maxillary anterior teeth often lead to esthetic, functional and phonetic problems. Crown-root fractures at cervical third area result in biological width violation and are challenging to treat. The treatment modalities involve exposing the cervical margins by means of surgical crown lengthening and/or orthodontic extrusion. Case Report: This paper reports a case of fractured maxillary anterior tooth at the coronal third level that was managed by forced orthodontic extrusion and intentional root canal therapy followed by esthetic rehabilitation. Conclusion: Out of the two available options, orthodontic extrusion, a much forgotten technique was utilized and proved to be a conservative and cost effective technique. Keywords: Biological Width, Cervical Third Fracture, Esthetic Rehabilitation, Orthodontic Extrusion