Salvation of severely fractured anterior tooth: An orthodontic approach

Authors

  • Ashok Ayer Assistant Professor, Department of Conservative Dentistry & Endodontics, B. P. Koirala Institute of Health Sciences, Dharan
  • Rajesh Gyawali Lecturer, Department of Orthodontics, Nobel Medical College, Biratnagar
  • Bahusan Bhattarai Assistant Professor, Department of Orthodontics, B P Koirala Institute of Health Sciences, Dharan
  • Pramita Suwal Additional Professor, Department of Prosthodontics, B P Koirala Institute of Health Sciences, Dharan

DOI:

https://doi.org/10.3126/jcmsn.v11i4.14324

Keywords:

Crown-root fracture, endodontic treatment, orthodontic extrusion, traumatic dental injuries.

Abstract

Restoration of severely fractured teeth presents a challenge to the endodontist and may require an interdisciplinary approach for proper management. When the available crown structure is less, orthodontic forced extrusion is the option where the coronal root structure is exposed for proper restoration. This report describes the management of severely fractured maxillary right lateral incisor with extensive loss of coronal structure and fracture line extending below gingival margin. Endodontic treatment of the fractured tooth was followed by controlled orthodontic extrusion to expose fracture margin and providing sufficient coronal tooth structure to support the prosthesis. Orthodontic extrusion may be considered as a viable option for the salvation of fractured anterior teeth.

Journal of College of Medical Sciences-Nepal, Vol.11(4) 2015: 35-38

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Published

2016-01-22

How to Cite

Ayer, A., Gyawali, R., Bhattarai, B., & Suwal, P. (2016). Salvation of severely fractured anterior tooth: An orthodontic approach. Journal of College of Medical Sciences-Nepal, 11(4), 35–38. https://doi.org/10.3126/jcmsn.v11i4.14324

Issue

Section

Case Reports