Multidisciplinary approach to the management of a subgingivally fractured anterior tooth using an aligner based esthetic orthodontic extrusion appliance – A case report

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.

Download Full-text

Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach

BMJ Case Reports ◽

10.1136/bcr-2019-231036 ◽

2019 ◽

Vol 12 (7) ◽

pp. e231036

Author(s):

Anamika Thakur ◽

Karandeep S Arora ◽

Kirandeep Kaur ◽

Surya Dahiya

Keyword(s):

Conservative Treatment ◽

Multidisciplinary Approach ◽

Young Patients ◽

Cost Effective ◽

Treatment Choice ◽

Anterior Tooth ◽

Traumatic Injuries ◽

Anterior Teeth ◽

Orthodontic Extrusion

The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a sound tissue margin for final restoration and creates a periodontal environment (biological width) which is easy for the patient to maintain. Restoration after orthodontic eruption may present a more conservative treatment choice in young patients compared with the prosthetic restoration after extraction. This paper reports a case of the fractured maxillary anterior tooth at the subgingival level that was managed by forced orthodontic extrusion after endodontic therapy followed by aesthetic rehabilitation, a much-forgotten technique not utilised routinely yet conservative and cost-effective.

Download Full-text

Is Less More? A conservative multidisciplinary approach to ameloblastoma

Dental Update ◽

10.12968/denu.2020.47.6.510 ◽

2020 ◽

Vol 47 (6) ◽

pp. 510-514

Author(s):

Hussein Mohamedbhai ◽

Debipriya Dasgupta ◽

Charlotte Hubbett ◽

Nayeem Ali

Keyword(s):

Case Report ◽

Conservative Treatment ◽

Multidisciplinary Approach ◽

Inferior Alveolar Nerve ◽

Case Series ◽

Third Molars ◽

Neurological Damage ◽

First Case ◽

Unicystic Ameloblastoma ◽

Orthodontic Extrusion

This case report outlines a novel conservative surgical approach to the management of a unicystic ameloblastoma with the use of marsupialisation, enucleation, cryotherapy and orthodontic extrusion to enable successful treatment without neurological damage or deformity. It has been increasingly recognized that conservative treatment of unicystic ameloblastomas, instead of wide local excision, can reduce morbidity whilst maintaining an acceptably low recurrence rate. Several case series have also demonstrated orthodontic extrusion of impacted third molars in moving the apex of the roots away from the inferior alveolar nerve. This is possibly the first case report of the combination of these two procedures in an adult with a large unicystic ameloblastoma. CPD/Clinical Relevance: This is not an infrequently seen neoplasia: this paper therefore has the opportunity to inform management of this condition amongst clinicians.

Download Full-text

Multidisciplinary approach in restoring а severely destroyed upper premolar: Case report

Эндодонтия Today ◽

10.36377/1683-2981-2020-18-1-53-57 ◽

2020 ◽

Vol 18 (1) ◽

pp. 53-57

Author(s):

Krasimir Tsvetanov

Keyword(s):

Case Report ◽

Multidisciplinary Approach ◽

Orthodontic Extrusion

Clinicians often have to deal with severely destroyed teeth. One of the keys to long-term success of the prosthetic restorations is the presence of "ferrule" effect. This case report describes how а proper ferrule effect of tooth 2.5 was achieved with the rapid orthodontic extrusion and restored with ceramic-layered zirconium.

Download Full-text

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

The Open Dentistry Journal ◽

10.2174/1874210601812010238 ◽

2018 ◽

Vol 12 (1) ◽

pp. 238-245 ◽

Cited By ~ 1

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.

Download Full-text

Use of fiberglass CAD-CAM post-and-core for rapid orthodontic extrusion of anterior tooth – Case Report

Research Society and Development ◽

10.33448/rsd-v10i16.23686 ◽

2021 ◽

Vol 10 (16) ◽

pp. e337101623686

Author(s):

Anderson Petrauskas ◽

Bruna Luiza do Nascimento ◽

Isabelle Adad Fornazari ◽

Evelise Machado de Souza ◽

Rodrigo Nunes Rached

Keyword(s):

Case Report ◽

Glass Ceramic ◽

Anterior Tooth ◽

Cad Cam ◽

Tooth Extrusion ◽

Elastic Rubber ◽

Post And Core ◽

Orthodontic Extrusion ◽

Ceramic Crown ◽

Post Space

This report describes the restoration of an anterior fractured tooth with a fiberglass CAD-CAM post-and-core followed by rapid orthodontic extrusion. The post space was prepared, the post-and-core was luted and a interim crown was luted to allow the tooth extrusion through the use of orthodontic buttons and elastic rubber bands. A lithium disilicate glass-ceramic crown was luted and the case was followed up after 6 and 12 months.

Download Full-text