International Journal of Clinical Pediatric Dentistry

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VOLUME 5 , ISSUE 1 ( January-April, 2012 ) > List of Articles

CASE REPORT

Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities

Sladana Milardovic Ortolan, Mihovil Strujic, Andrej Aurer, Josko Viskic, Lana Bergman, Ketij Mehulic

Keywords : Complicated tooth fracture, Orthodontic extrusion, Esthetic rehabilitation, Prosthodontic restoration, Direct adhesive restoration

Citation Information : Milardovic Ortolan S, Strujic M, Aurer A, Viskic J, Bergman L, Mehulic K. Esthetic Rehabilitation of Complicated Crown Fractures Utilizing Rapid Orthodontic Extrusion and Two Different Restoration Modalities. Int J Clin Pediatr Dent 2012; 5 (1):64-67.

DOI: 10.5005/jp-journals-10005-1136

License: CC BY-NC 4.0

Published Online: 00-04-2012

Copyright Statement:  Copyright © 2012; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

This case report describes the management of a crown-root fractured maxillary right central incisor and a crown fractured maxillary left central incisor using two different techniques. A complex procedure was designed to manage this case including orthodontic extrusion to move the fracture line above the alveolar bone and surgical recontouring of the altered gingival margin. Finally, the right incisor was restored prosthodontically. Prosthetic treatment was based on performing a post and core, and all-ceramic crown on the extruded tooth. The left, less-damaged incisor was restored directly using composite resin. The treatment resulted in good esthetics and secured periodontal health. This case report demonstrates that a multidisciplinary treatment approach is a reliable and predictable option to save a tooth.


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