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This document discusses the management of a subgingivally fractured tooth using a multidisciplinary approach. It describes a case where a female patient presented with a subgingivally fractured maxillary lateral incisor with a history of trauma. After root canal treatment, the tooth was orthodontically extruded to expose the fracture margin. A fiber post, core, and porcelain fused metal crown were placed as the post-endodontic restoration. The conclusion is that controlled orthodontic extrusion to expose the fracture line can produce excellent results with a good long-term prognosis and low risk of relapse.

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53 views

C Yc CCCC CCC Cccccccy CCCCC C !C"!CC CCCC Y CCCC Y

This document discusses the management of a subgingivally fractured tooth using a multidisciplinary approach. It describes a case where a female patient presented with a subgingivally fractured maxillary lateral incisor with a history of trauma. After root canal treatment, the tooth was orthodontically extruded to expose the fracture margin. A fiber post, core, and porcelain fused metal crown were placed as the post-endodontic restoration. The conclusion is that controlled orthodontic extrusion to expose the fracture line can produce excellent results with a good long-term prognosis and low risk of relapse.

Uploaded by

sureshendo
Copyright
© Attribution Non-Commercial (BY-NC)
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Download as DOCX, PDF, TXT or read online on Scribd
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TITLE: Management Of Subgingivally fractured tooth: A Multidisciplinary Approach

Name of the Presenter: Dr. Nagendra Gupta V.R.


Co Authors: Dr. KALA. M
Institution: Government Dental College and Research Institute, Bangalore.
Photograph:

Management Of Subgingivally fractured tooth: A Multidisciplinary Approach


Introduction:The interdisciplinary treatment is becoming an ever-increasing part oI modern-day
endodontic practice. Attempts to expose the Iracture line by alveolar re-contouring and
periodontal procedures may compromise the Iunctional root length and esthetics.Controlled
orthodontic extrusion is considered as the treatment oI choice.
Case Description: A Iemale patient presented with a subgingivally Iractured maxillary lateral
incisor with a history oI trauma 6 months back. AIter Root Canal Treatment the tooth was
extruded orthodontically to expose the Iracture margin. The post endodontic restoration
comprised oI a Iiber post & core and a PFM crown.
Discussion: Subgingivally Iractured incisors posed a true therapeutic dilemma to the dental
team. The Iracture oI the crown oI the tooth extended below the alveolar crest and the tooth was
saved through an endodontic-orthodontic approach.
Conclusion: Controlled orthodontic extrusion to expose the Iracture line produced excellent
results with a good prognosis and a low risk oI relapse.

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