Fracture of anterior teeth after trauma adversely affects the emotional well-being of a person in addition to the discomfort and pain. Complexity and extension of fracture along with the associated injury to the tooth influence the restorative design. Crown-root fracture of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Clinical considerations for the management of crown-root fractures include extent and pattern of fracture, restorability of remaining tooth, availability of fractured fragment, and damage to the attachment apparatus. Sub-gingival extension of fracture raises concern about biological width violation. This report of two cases described the clinical procedures involved in the treatment of a complicated crown-root fracture in the maxillary anterior teeth.

Key-words: Complicated crown-root fracture; Extrusion; Biological width; Gingivectomy