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

Saudi Endodontic Journal

article

Gayathri Parthiban¹  Shweta Nagesh²  Rupali Karale¹  Sumitra Reddy¹ 

[1] Department of Conservative Dentistry and Endodontics, KLE Society's Institute of Dental Sciences;Department of Orthodontics and Dentofacial Orthopedics, KLE Society's Institute of Dental Sciences

关键词: Esthetic;    forced eruption;    multidisciplinary communication;    orthodontic extrusions;   

DOI  :  10.4103/sej.sej_3_19

学科分类：口腔科学

来源: Medknow

【 摘 要 】

Restoration of a subgingivally fractured tooth, especially at anterior esthetic zones, is still a great challenge for restorative dentists. This case report describes the management of a subgingivally fractured central incisor of a healthy 27 year old male patient using a conservative approach while maintaining esthetics throughout the treatment with the help of a clear aligner. An interdisciplinary approach was followed that included nonsurgical endodontic therapy followed by orthodontic extrusion, crown lengthening, and post-endodontic restoration with a custom cast post and porcelain-fused-to-metal crown. The tooth was asymptomatic clinically and radiographically at 1-year follow-up. This method can be an innovative solution to patients who demand instant resolution to their esthetic issues. The present case also reports management of relapse of orthodontically extruded tooth.

【 授权许可】

CC BY-NC-SA