scholarly journals A multidisciplinary approach to restore crown-root fractured maxillary central incisors: orthodontic extrusion and surgical extrusion

2020 ◽  
Vol 36 (4) ◽  
pp. 262-271
Author(s):  
Eun-Young Kwon ◽  
So-Yeun Kim ◽  
Kyoung-Hwa Jung ◽  
Youn-Kyung Choi ◽  
Hyun-Joo Kim ◽  
...  
Keyword(s):  
Multidisciplinary Approach ◽  
Crown Root ◽  
Orthodontic Extrusion

scholarly journals Multidisciplinary Approach in the Rehabilitation of Complicated Crown-root Fracture: A Case Report

2014 ◽  
Vol 4 (2) ◽  
pp. 51-55
Author(s):  
Nisha Acharya ◽  
Praveen Singh Samant ◽  
Vanita Gautam ◽  
Ourvind Singh ◽  
Hemanta Halwai
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Fracture Line ◽  
Dental Practice ◽  
Root Fracture ◽  
Traumatic Injuries ◽  
Tooth Structure ◽  
Crown Root ◽  
Anterior Teeth ◽  
Orthodontic Extrusion

The management of patients with traumatic injuries to their dentition poses a serious challenge in everyday general dental practice. For the rehabilitation of the complicated subgingival crown fracture of anterior teeth, multidisciplinary approach is often indicated. A combination of endodontic, orthodontic, periodontal and prosthodontic approach may be required. Orthodontic or periodontal intervention becomes an integral part for the exposure of the sound tooth structure of fractured anterior teeth with fracture line extending subgingivally. The aim of this paper is to discuss the immediate endodontic management followed by orthodontic extrusion of traumatized upper anterior teeth with fracture at the subgingival level. In order to expose the sound tooth structure for prosthodonticintervention, orthodontic extrusion was performed after endodontic treatment. To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was esthetically pleasant and periodontically sound. 

scholarly journals Sectional Fixed Orthodontic Extrusion Technique in Management of Teeth with Complicated Crown-Root Fractures: Report of Two Cases

2018 ◽  
Vol 2018 ◽  
pp. 1-6
Author(s):  
S. Nagarajan M. P. Sockalingam ◽  
Katherine Kong Loh Seu ◽  
Halimah Mohamed Noor ◽  
Ahmad Shuhud Irfani Zakaria
Keyword(s):  
Quality Of Life ◽  
Treatment Technique ◽  
Root Fracture ◽  
Crown Root ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Orthodontic Extrusion ◽  
Dental Injuries

Complicated crown-root fractures account for a small percentage of traumatic dental injuries seen in children; however, management of these injuries can be very challenging to clinicians. Factors such as complexity of the injury, patient’s age and dentition stage, patient’s cooperation, and parental demands may have some bearing on the type of treatment undertaken and its outcomes. In some children, these injuries may have significant impact on their quality of life. The purpose of this article is to describe two cases of complicated crown-root fracture which were successfully managed through orthodontic extrusion using a sectional fixed orthodontic technique. The basis for the treatment technique and its favourable outcomes were highlighted with its advantages and drawbacks.

Multidisciplinary Treatment of Complicated Crown-Root Fractures: A Case Study

2016 ◽  
Vol 41 (6) ◽  
pp. e168-e173 ◽  
Author(s):  
IL Stojanac ◽  
BV Bajkin ◽  
MT Premovic ◽  
BD Ramic ◽  
LM Petrovic
Keyword(s):  
Multidisciplinary Approach ◽  
Multidisciplinary Treatment ◽  
Functional Rehabilitation ◽  
Crown Root ◽  
Reinforced Composite ◽  
Root Fractures ◽  
Traumatic Dental Injuries ◽  
Surgical Conditions ◽  
Dental Injuries

SUMMARY Traumatic dental injuries usually occur among children and adolescents, with maxillary central incisors as the most often affected teeth. Complicated crown-root fractures are particularly challenging for esthetic and functional rehabilitation and often require a multidisciplinary approach. A 21-year-old male patient came to the Dental Clinic due to fractured maxillary incisors caused by trauma during a sporting activity. Clinical examination revealed horizontal fractures of teeth 7, 8, and 9, initiating in the labial cervical third and extending subgingivally on the palate, with exposed pulp tissues. On provisional repositioning and splinting the fragments, root canal treatment was performed. Definitive repositioning was accomplished by raising a full-thickness gingival flap, using fiber-reinforced composite posts, by an endodontist and an oral surgeon. Reattachment was accomplished under surgical conditions to ensure precise positioning of fragments by exposing the palatal aspect of the fracture lines and providing a dry operating field. Definitive composite resin veneers were performed after seven days.

Reattachment and Orthodontic Extrusion in the management of an incisor crown-root fracture: A case report

2006 ◽  
Vol 30 (3) ◽  
pp. 211-214 ◽  
Author(s):  
B Suprabha ◽  
M Kundabala ◽  
M Subraya ◽  
P Kancherla
Keyword(s):  
Case Report ◽  
Treatment Modality ◽  
Central Incisor ◽  
Periodontal Health ◽  
Root Fracture ◽  
Crown Root ◽  
Orthodontic Extrusion

This article describes the management of a case of oblique crown root fracture of a central incisor where the fractured fragment was used as a temporary replacement crown in order to maintain esthetics during the period of orthodontic extrusion of the remaining root. Placement of the final restoration after orthodontic extrusion resulted in good esthetics and periodontal health postoperatively. The merits and demerits of this treatment modality are discussed.

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

2020 ◽  
Vol 5 (1) ◽  
pp. 22-26
Author(s):  
Kishan Agarwal ◽  
◽  
Praveen Singh Samant ◽  
Shreya ◽  
Nikhil Ashok ◽  
...  
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Central Incisor ◽  
Crown Root

scholarly journals Trans-operative reattachment of crown-root fragment: fundamentals of the technique and a case report

2015 ◽  
Vol 63 (4) ◽  
pp. 477-483
Author(s):  
José Carlos Viana RIBEIRO ◽  
Marília Mota SILVA ◽  
Carlos Augusto de Oliveira FERNANDES
Keyword(s):  
Case Report ◽  
Multidisciplinary Approach ◽  
Crown Root ◽  
Anterior Teeth ◽  
And Function

The functional and aesthetic restoration of crown-root fractured anterior teeth with biological width involvement represents a challenge to the clinician, because it requires a multidisciplinary approach. The trans-operative fragment reattachment technique is a feasible and advantageous alternative since it makes it possible to reestablish the original aesthetics and function of the fractured tooth in a single appointment. This work presents the fundamentals of this technique, highlighting its advantages, indications and limitations. The applications of the surgical and restorative procedures are demonstrated by way of a case report.

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