International Journal of Clinical Pediatric Dentistry

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VOLUME 11 , ISSUE 1 ( January-February, 2018 ) > List of Articles

CASE REPORT

A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance

Srinivas Namineni, Ziauddin Mohammad, Apeksha Bagalkotkar, Sarada Penmetcha

Keywords : Begg bracket, Complicated crown root fracture, Fiber post, Orthodontic extrusion, Rolled cone technique

Citation Information : Namineni S, Mohammad Z, Bagalkotkar A, Penmetcha S. A Novel Approach to extrude Subgingivally Fractured Tooth using Customized Removable Appliance. Int J Clin Pediatr Dent 2018; 11 (1):53-57.

DOI: 10.5005/jp-journals-10005-1484

License: CC BY-NC 4.0

Published Online: 01-01-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Traumatic dental injuries (TDIs) are common in growing children. Among all the dental injuries, complicated crown root fractures (Andreasen Class VI) of maxillary permanent anterior teeth are relatively widespread. Such fractured teeth are often considered as hopeless and are extracted. However, if the tooth is to be retained, various treatment strategies have been proposed. The aim of the present case report is to suggest a new technique to treat a complicated crown root fracture. The management of this case included endodontic procedure and orthodontic extrusion to move the fracture line above the supragingival level. A customized removable Hawley's appliance with a modified single cantilever spring was fabricated and an anchoring Begg bracket was bonded on the residual crown of the tooth. This method is useful in the mixed dentition when there is insufficient anchorage of adjacent teeth because of preshedding mobility and trauma.


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  1. Bakland LK. Endodontic considerations in dental trauma. In: Ingle JI, Bakland LK, editors. Endodontics. 5th ed. Hamilton: BC Decker; 2002. pp. 795-843.
  2. Simnosen RJ. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc 1982 Oct;105(4): 646-648.
  3. Fournier A. Orthodontic management of subgingivally fractured teeth. J Clin Orthod 1981 Jul;15(7):502-503.
  4. Cvek M. Root fractures. In: Andreasen JO, Andreasen FM, Andreasen L, editors. Textbook and color atlas of traumatic injuries to teeth. Copenhagen: Blackwell; 2007. pp. 337-371.
  5. Philip P, Rao A. Orthodontic extrusion of an impacted tooth with a removable appliance and a bonded attachment: a case report with relevant biomechanics. J Interdiscip Dentistry 2014 Jun;4(1):46-49.
  6. Heithersay GS, Moule AJ. Anterior subgingival fractures: a review of treatment alternatives. Aust Dent J 1982 Dec;27(6): 368-376.
  7. Bach N, Baylard JF, Voyer R. Orthodontic extrusion: periodontal considerations and applications. J Can Dent Assoc 2004 Dec;70(11):775-780.
  8. Bindo TZ, de Morais EC, de Campos EA, Gonzaga CC, Correr GM, Baratto-Filho F. Multidisciplinary approach of a crown-root fracture using intentional replantation: a case report. Pediatr Dent 2010 Sep-Oct;32(5):428-432.
  9. Kocadereli I, Tasman F, Guner SB. Combined endodontic orthodontic and prosthodontic treatment of fractured teeth. Case report. Aus Dent J 1998 Feb;43(1):28-31.
  10. Alves LD, Donnelly JC, Lugo A, Carter DR. Reeruption and extrusion of a traumatically intruded immature permanent incisor: case report. J Endod 1997 Apr;23(4):246-248.
  11. Oesterle LJ, Wood LW. Raising the root. A look at orthodontic extrusion. J Am Dent Assoc 1991 Jul;122(7):193-198.
  12. Minsk L. Orthodontic tooth extrusion as an adjunct to periodontal therapy. Compend Contin Educ Dent 2000 Sep;21(9):768-770.
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