Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities

Abstract

This 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.

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

“…Orthodontic extrusion is a biological way to expose sound tooth structure, but it often requires prolonged treatment. Rapid coronal movement with intense force provides faster clinical results, but has limited indications [ 6 ]. Rapid orthodontic therapy is known to alter the position of the tooth but the bony architecture does not follow the extruded tooth [ 2 ].…”

Fratura Dental Com Tratamento Multidisciplinar

“…São várias as técnicas de tratamento sugeridas para casos de fratura de dentes anteriores traumatizados, dependendo a escolha da situação clínica (MILARDOVIC ORTOLAN et al, 2012). Seja qual for a técnica escolhida, a distância biológica entre a base do sulco gengival histológico e a crista óssea deve ser respeitada, sob pena de inflamação gengival, perda de inserção e consequente formação de bolsa periodontal (SANTOS; SARTORI, 2000).…”