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Year 2020

Volume: 5 , Issue: 2

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IP Indian Journal of Conservative and Endodontics


Multidisciplinary approach for management of traumatic subgingival crown-root fractured central incisor: A case report


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Case Report

Author Details : Kishan Agarwal*, Praveen Singh Samant, Shreya , Nikhil Ashok, Ritwik Shyamal

Volume : 5, Issue : 1, Year : 2020

Article Page : 22-26


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Abstract

This case report describes a multidisciplinary approach to treat subgingivally fractured permanent right maxillary central incisor using orthodontic forced eruption to facilitate prosthetic restoration. A 23-year-old female patient reported at the Department of Conservative Dentistry and Endodontics with chief complaint of a fractured tooth and its unaesthetic appearance. Intraoral examination revealed that the maxillary right central incisor had sustained a oblique crown root fracture with pulp exposure. The treatment included endodontic procedure and orthodontic root extrusion using MBT mini brackets of .022 slots with ligation of .012 nickel titanium wire before going to prosthetic rehabilitation. Approximately 4.00 mm of extrusion of the tooth was obtained within 21 days with 0.5 mm extrusion of fracture margin supragingivally. A fiber post cementation, use of diode laser to correct the gingival margin and final restoration was performed with a porcelain fused to metal crown.

Keywords: Crown-Root fracture, Multidisciplinary management, Root canal treatment.

Doi : 10.18231/j.ijce.2020.006

How to cite : Agarwal K, Samant P S, Shreya, Ashok N , Shyamal R , Multidisciplinary approach for management of traumatic subgingival crown-root fractured central incisor: A case report. IP Indian J Conserv Endod 2020;5(1):22-26

Copyright © 2020 by author(s) and IP Indian J Conserv Endod. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC-BY-NC 4.0) (creativecommons.org)