scholarly journals A Multidisciplinary Approach to the Management of inadequate clinical crown of Maxillary Central incisor: A Clinical Report

2020 ◽  
Vol 10 (3) ◽  
pp. 66-69
Author(s):  
Shyam Kaji Maharjan ◽  
Suraj Ram Bhakta Mathema ◽  
Amina Pradhan ◽  
Supreet Manipal
Keyword(s):  
Multidisciplinary Approach ◽  
Treatment Options ◽  
Clinical Report ◽  
Maxillary Central Incisor ◽  
Tooth Structure ◽  
Tooth Fracture ◽  
Orthodontic Extrusion ◽  
Forced Eruption ◽  
Clinical Conditions ◽  
Crown Lengthening

Introduction: Anterior tooth fracture is the most commonly presenting clinical condition during routine dental practise. Restoration of such tooth is challenging task due to fracture position and amount of remaining coronal tooth structure. Tooth fracture at or below the gingival level usually have a poor prognosis. Treatment options for such clinical conditions range from tooth extraction to prosthodontic rehabilitation with surgical crown lengthening and/or orthodontic extrusion. This clinical report describes a multidisciplinary approach for management of such cases by the orthodontic forced eruption and clinical crown lengthening followed by the final restoration with indirect resin customized post core and crown.

scholarly journals Restoration Made Possible with Forced Orthodontic Eruption of Endodontically Treated Unrestorable Tooth: A Case Report

2011 ◽  
Vol 1 (1) ◽  
pp. 60-62
Author(s):  
Sandhya Shrestha ◽  
Rabindra M Shrestha ◽  
Marisha Dahal
Keyword(s):  
Case Report ◽  
Interdisciplinary Approach ◽  
Tooth Surface ◽  
Tooth Structure ◽  
Orthodontic Extrusion ◽  
Forced Eruption ◽  
Crown Lengthening

Post endodontic restoration in cases of grossly destructed teeth are difficult as the available tooth structure is less, margins are subgingival and of compromised prognosis because the restoration might encroach upon the periodontium affecting its status to deteriorate. Interdisciplinary approach using forced eruption or Orthodontic extrusion along with minimal surgical crown lengthening can give adequate supragingival tooth surface for proper restoration and protect its root support from getting violated. This is the case report of an unsalvageable tooth that is restored to satisfactory functional and esthetic restoration utilizing interdisciplinary approach.

scholarly journals Restoring the unrestorable! Developing coronal tooth tissue with a minimally invasive surgical extrusion technique

BDJ ◽  
2019 ◽  
Vol 226 (10) ◽  
pp. 789-793 ◽  
Author(s):  
Thomas Dietrich ◽  
Ralf Krug ◽  
Gabriel Krastl ◽  
Phillip L. Tomson
Keyword(s):  
Minimally Invasive ◽  
Traumatic Injury ◽  
Tooth Structure ◽  
Advantages And Disadvantages ◽  
Minimally Invasive Surgical ◽  
Novel Approach ◽  
Alternative Approaches ◽  
Orthodontic Extrusion ◽  
Tooth Tissue ◽  
Crown Lengthening

Abstract Surgical extrusion is a recognised treatment option for teeth that have insufficient coronal tooth structure remaining due to deep caries, resorption or traumatic injury. However, the technique has not been widely adopted, arguably because extraction of a severely compromised tooth may be difficult to achieve in a gentle and predictable way. In this paper, we present our novel approach to surgical extrusion and subsequent management of teeth using a vertical extraction system (Benex), which has become the method of choice in the authors' practice for many teeth that would otherwise be deemed unrestorable. We describe the clinical procedure in detail and discuss the advantages and disadvantages compared to alternative approaches, including surgical crown lengthening and orthodontic extrusion.

scholarly journals Dental Extrusion with Orthodontic Miniscrew Anchorage: A Case Report Describing a Modified Method

2015 ◽  
Vol 2015 ◽  
pp. 1-6
Author(s):  
Ricardo Fidos Horliana ◽  
Anna Carolina Ratto Tempestini Horliana ◽  
Alexandre do Vale Wuo ◽  
Flávio Eduardo Guillin Perez ◽  
Jorge Abrão
Keyword(s):  
Case Report ◽  
Treatment Options ◽  
Orthodontic Appliances ◽  
Skeletal Anchorage ◽  
Modified Method ◽  
Orthodontic Wire ◽  
Tooth Extrusion ◽  
Orthodontic Extrusion ◽  
Crown Lengthening

In recent years, the skeletal anchorage through miniscrews has expanded the treatment options in orthodontics (Yamaguchi et al., 2012). We hereby present a modified method for tooth extrusion for cases where crown-lengthening surgery is contraindicated for aesthetic reasons. This modified method uses three orthodontic appliances: a mini-implant, an orthodontic wire, and a bracket. The aim of this case report was to increase the length of the clinical crown of a fractured tooth (tooth 23) by means of an orthodontic extrusion with the modified method of Roth and Diedrich.

scholarly journals Crown Lengthening Procedure: Report of Two Cases

2020 ◽  
Vol 11 (SPL4) ◽  
pp. 2926-2931
Author(s):  
Deepika Masurkar ◽  
Priyanka Jaiswal ◽  
Diksha Agrawal
Keyword(s):  
Case Report ◽  
Root Structure ◽  
Tooth Structure ◽  
Crown Length ◽  
Operative Complications ◽  
Biologic Width ◽  
Forced Eruption ◽  
Crown Lengthening ◽  
Root Location ◽  
Selection Of

Crown lengthening is a surgical procedure designed to increase the extent of the supragingival tooth structure, so that the clinician can restore the tooth. Crown lengthening procedure is done to maintain normal biologic width and increase crown length for retention of prosthesis. Various techniques have been proposed to perform CLP, such as gingivectomy, undisplaced flap with or without osseous reduction, apically repositioned flap with or without bone reduction, and orthodontic forced eruption with or without fibrotomy. Selection of one of this CLP technique depends upon esthetics, clinical ratio of crown to root, structure of root, location of furcation, position of tooth and the capacity of the tooth to be restored. This case report illustrate two different methods of doing crown lengthening procedure the selection of case depends upon various soft tissue and hard tissue parameters. Owing to the various advantages, disadvantages and associated limitation with different methods, we opted for surgical CLP with scalpel method. Uneventful healing was observed in both our cases. No post-operative complications was observed in both cases. Thus to conclude success rate of CLP is high but appropriate selection of case is required. In our case report both the methods of CLP shows significant result in increasing the crown length and maintaining the biological width.

scholarly journals Ferrule Effect pada Manajemen Klinis Crown Lengthening Pasca Perawatan Saluran Akar

2019 ◽  
Vol 7 (1) ◽  
pp. 19-26
Author(s):  
Miftahul Jannah ◽  
Kosno Suprianto
Keyword(s):  
Female Patient ◽  
Multidisciplinary Approach ◽  
Endodontic Treatment ◽  
Central Incisor ◽  
Tooth Structure ◽  
Proper Diagnosis ◽  
Crown Lengthening

A case of a 27-year-old female patient presented clinically with short clinical crown due to caries and after endodontic treatment on upper right central incisor needs ferrule effect for final endodontic restoration was managed by surgical crown lengthening. To maintain a healthy periodontal-restorative interrelationship, exposure of tooth structure supragingivally becomes necessary which can be achieved by surgical crown lengthening. Biological width measured by comparing clinical and periapical radiograph.The reported case highlights the importance of through examination, proper diagnosis and the multidisciplinary approach.

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 Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

2018 ◽  
Vol 12 (1) ◽  
pp. 238-245 ◽  
Author(s):  
Rakesh. R. Rajan ◽  
Sapna Chandira Muddappa ◽  
Priya Rajendran ◽  
Ashok Sukumaran Nair
Keyword(s):  
Treatment Outcome ◽  
Case Report ◽  
Treatment Planning ◽  
Multidisciplinary Approach ◽  
Tooth Structure ◽  
Case Evaluation ◽  
Orthodontic Extrusion ◽  
And Function ◽  
Attention To Detail

Introduction: Fracture of tooth structure at or below the gingival margin compromises rehabilitation and hampers esthetics and function. Management: Management of such cases by a post-core and crown restoration, or periodontal surgery or orthodontic extrusion alone may not always suffice in attaining a good result. Case Report: A multi-disciplinary approach which includes all of the above mentioned procedures helps in long term success. Conclusion: Careful case evaluation, treatment planning and meticulous attention to detail are the keys to the best treatment outcome.

scholarly journals Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor

2014 ◽  
Vol 15 (1) ◽  
pp. 112-115 ◽  
Author(s):  
Smita P Nimbalkar-Patil ◽  
Aamod B Karandikar
Keyword(s):  
Alveolar Bone ◽  
Treatment Approach ◽  
Multidisciplinary Treatment ◽  
Treatment Modalities ◽  
Surgical Removal ◽  
Central Incisor ◽  
Maxillary Central Incisor ◽  
Tooth Structure ◽  
Biologic Width ◽  
Forced Eruption

ABSTRACT This case report demonstrates sequential Periodontic, Orthodontic and Prosthodontic treatment modalities to save and restore deep horizontally fractured maxillary central incisor. The location of fracture was deep in the mucosa which reveals less than 2 mm of tooth structure to receive the crown. The procedures like surgical crown lengthening, endodontic post placement, orthodontic forced eruption, core build-up and metal-ceramic crown restoration were sequentially performed to conserve the fractured tooth. Forced eruption is preferred to surgical removal of supporting alveolar bone, since forced eruption preserves the biologic width, maintains esthetics, and at the same time exposes sound tooth structure for the placement of restorative margins. How to cite this article Patil PG, Nimbalkar-Patil SP, Karandikar AB. Multidisciplinary Treatment Approach to Restore Deep Horizontally Fractured Maxillary Central Incisor. J Contemp Dent Pract 2014;15(1):112-115.

scholarly journals Clinical Diagnosis and Oral Rehabilitation of a Patient with Amelogenesis imperfecta: A Case Report

2008 ◽  
Vol 9 (4) ◽  
pp. 92-98 ◽  
Author(s):  
Veena Hegde ◽  
Amar A. Sholapurkar ◽  
Robin Mathia Joseph ◽  
Jothi M. Varghese ◽  
Krishna Neelagiri ◽  
...  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Clinical Diagnosis ◽  
Economic Status ◽  
Systemic Disease ◽  
Treatment Options ◽  
Amelogenesis Imperfecta ◽  
Clinical Report ◽  
Oral Rehabilitation ◽  
Tooth Structure

Abstract Aim This clinical report describes the oral rehabilitation of a young female patient diagnosed with the hypocalcified, autosomal recessive type of Amelogenesis imperfecta (AI). A brief discussion on diagnosis of AI is also included. Background AI has been defined as a group of hereditary enamel defects not associated with evidence of systemic disease. It can be characterized by enamel hypoplasia and/or hypomaturation or hypocalcification of the existing teeth. Restoration for patients with this condition should be oriented toward the functional and esthetic rehabilitation and the protection of these teeth. Report A 31-year-old female patient presented with concerns including extreme sensitivity; dissatisfaction with size, shape, and shade of teeth; and poor masticatory efficiency. She was very conscious about the appearance of her teeth and reported that her primary dentition was affected in the same manner. The specific objectives of this treatment were to eliminate tooth sensitivity, enhance esthetics, and restore masticatory function. Treatment included crown lengthening procedures and placement of anterior and posterior metalceramic crowns. A 12-month follow-up with clinical and radiographic examinations revealed no evidence of any untoward effects of the treatment on the restored teeth or their supporting structures. Summary Management of a patient with AI is a challenge for the clinician. The treatment options vary considerably depending on several factors such as the age of the patient, socio-economic status, periodontal condition, loss of tooth structure, severity of the disorder, and, most importantly, the patient's cooperation. The clinician has to consider the long-term prognosis of the treatment outcome. This clinical report describes the fabrication of metal ceramic and all metal crowns for the restoration of severely worn teeth in a patient with AI which requires meticulous maintenance of oral hygiene and patient co-operation. Citation Sholapurkar AA, Joseph RM, Varghese JM, Neelagiri K, Acharya SRR, Hegde V, Pai KM, Bhat M. Clinical Diagnosis and Oral Rehabilitation of a Patient with Amelogenesis imperfecta: A Case Report. J Contemp Dent Pract 2008 May; (9)4:092-098.

scholarly journals Forceful Orthodontic Extrusion of Maxillary Canine in an Adult Patient: A Case Report

2018 ◽  
Vol 06 (01) ◽  
pp. 037-039
Author(s):  
Suruchi Jatol-Tekade ◽  
Satyajit Tekade ◽  
Kush Pathak ◽  
Vishal Patni
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Treatment Modalities ◽  
Case Discussion ◽  
Maxillary Canine ◽  
Tooth Structure ◽  
Gingival Margin ◽  
Orthodontic Extrusion ◽  
Crown Lengthening

AbstractLoss of tooth structure in the esthetic region is a big challenge for restorative dentist as it not only involves the establishment of tooth structure but also complies microesthetics. If the tooth structure is lost near the gingival margin, then the periodontal aspect cannot be overlooked. Surgical crown lengthening and orthodontic extrusion of the remaining tooth structure are two possible treatment modalities for such cases. Which one is best suited depends on the indications for each procedure. This study reports an orthodontic extrusion for the restoration of fractured upper canine. Preference of crown lengthening by orthodontic extrusion over surgical crown lengthening is clarified along the case discussion.

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