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Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach

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The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a… Click to show full abstract

The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a sound tissue margin for final restoration and creates a periodontal environment (biological width) which is easy for the patient to maintain. Restoration after orthodontic eruption may present a more conservative treatment choice in young patients compared with the prosthetic restoration after extraction. This paper reports a case of the fractured maxillary anterior tooth at the subgingival level that was managed by forced orthodontic extrusion after endodontic therapy followed by aesthetic rehabilitation, a much-forgotten technique not utilised routinely yet conservative and cost-effective.

Keywords: maxillary anterior; fractured maxillary; management; anterior tooth; approach

Journal Title: BMJ Case Reports
Year Published: 2019

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