2018Journal of Clinical and Experimental DentistryOpen access

Management of a crown-root fracture: A novel technique with interdisciplinary approach

A Artieda-Estanga, Pablo Castelo‐Baz, Alba Bello-Castro, Isabel Ramos‐Barbosa, Benjamín Martín‐Biedma, Juan Blanco

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Abstract

Anterior teeth with subgingival fractures require a complex treatment plan that addresses biologic, functional and aesthetic factors.This case report describes the management of a crown-root fractured maxillary left central incisor.An interdisciplinary approach was used to restore the tooth due to the complex nature of the treatment.Orthodontic extrusion was performed to move the fracture line above the alveolar bone and periodontal surgery to recontour the altered gingival margin.Finally, the incisor was restored performing a root canal retreatment with a fiber post and a full ceramic crown.The treatment resulted in secured periodontal health and good aesthetics.

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Anterior teeth with subgingival fractures require a complex treatment plan that addresses biologic, functional and aesthetic factors.This case report describes the management of a crown-root fractured maxillary left central incisor.An interdisciplinary approach was used to restore the tooth due to the complex nature of the treatment.Orthodontic extrusion was performed to move the fracture line above the alveolar bone and periodontal surgery to recontour the altered gingival margin.Finally, the incisor was restored performing a root canal retreatment with a fiber post and a full ceramic crown.The treatment resulted in secured periodontal health and good aesthetics.

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Available abstract

Anterior teeth with subgingival fractures require a complex treatment plan that addresses biologic, functional and aesthetic factors.This case report describes the management of a crown-root fractured maxillary left central incisor.An interdisciplinary approach was used to restore the tooth due to the complex nature of the treatment.Orthodontic extrusion was performed to move the fracture line above the alveolar bone and periodontal surgery to recontour the altered gingival margin.Finally, the incisor was restored performing a root canal retreatment with a fiber post and a full ceramic crown.The treatment resulted in secured periodontal health and good aesthetics.

Key concepts: Crown (dentistry), Dentistry, Root canal, Crown lengthening, Orthodontics, Tooth Fracture, Medicine, Gingival margin

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