Post Endodontic management of a critically traumatized Central Incisor: An extreme save
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
The management of adult 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. This report describes the restoration of an endodontically treated tooth ,with a complicated crown-root fracture along with crown prosthesis that extended below both the gingival cuff and the alveolar crest, by using remaining tooth tissue. The restoration was completed after root extrusion with a fiber post core, and porcelain crown. In order to expose the sound tooth structure for prosthodontic intervention, orthodontic extrusion was performed after endodontic treatment.Forced eruption may serve as an alternative treatment modality since its introduction in 1973.To avoid extraction of the involved teeth, the multidisciplinary approach was adopted and finally the teeth were restored prosthodontically. The final result was aesthetically satisfying and periodontically sound. Keywords: Coronal tooth fracture,forced tooth extrusion, orthodontic extrusion, subgingival crown fracture
Authors and Affiliations
A. S Arya, Shashikala K, Arun A, Umang Gupta, Roopak David, B. S Keshava Prasad, H Murali Rao
Keywords
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- EP ID EP467743
- DOI 10.9790/0853-1802144448.
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