Dental and Medical Problems

Dent Med Probl
Index Copernicus (ICV 2020) – 128.41
MEiN – 70 pts
CiteScore (2021) – 2.0
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Average rejection rate (2021) – 81.35%
ISSN 1644-387X (print)
ISSN 2300-9020 (online)
Periodicity – quarterly

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Dental and Medical Problems

2015, vol. 52, nr 3, July-September, p. 371–376

Publication type: clinical case

Language: English

Creative Commons BY-NC-ND 3.0 Open Access

Forced Eruption in the Management of Subgingival Crown Fracture – an Interdisciplinary Approach: Case Reports

Ekstruzja ortodontyczna w przypadkach poddziąsłowych złamań korzenia – leczenie interdyscyplinarne: opisy przypadków

Sajid Ali1,A, Asma Zoya1,D, Fehmi Mian1,A

1 Department of Conservative Dentistry & Endodontics, Dr. Z.A. Dental College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India

Abstract

Traumatic fracture of the maxillary incisors and its sequelae impair the esthetics, function and phonetics. For a clinician, on the other hand, they pose a challenge for the establishment and accomplishment of an adequate treatment plan. A subgingival fracture line may involve biologic width resulting in restorative difficulties, where preservation of healthy attachment apparatus becomes paramount for a successful outcome. Among all the treatment options, such as periodontal crown lengthening, surgical extrusion, intentional replantation and extraction, orthodontic extrusion is the most conservative method. The aim is to obtain both a sound tooth margin which offers adequate crown ferrule and a sustained biologic width by bringing the periodontal apparatus along with it. The cases presented in this report describe an interdisciplinary approach involving orthodontic extrusion, conservative periodontal surgery, and cast post and core with porcelain-metal crown prostheses. This study concludes that a multidisciplinary treatment approach with cooperation among specialists to manage such a type of dental injury is essential for favorable esthetic and functional rehabilitation.

Key words

subgingival fracture, orthodontic extrusion, cast post and core

Słowa kluczowe

złamanie poddziąsłowe, ekstruzja ortodontyczna, wkład koronowo-korzeniowy

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