Multidisciplinary approach for management of traumatic subgingival crown root fractured central incisor: A case report
This case report describes a multidisciplinary approach to treat subgingivally fractured permanent right maxillary central incisor using orthodontic forced eruption to facilitate prosthetic restoration. A 23 year old female patient reported at the Department of Conservative Dentistry and Endodontics with chief complaint of a fractured tooth and its unaesthetic appearance. Intraoral examination revealed that the maxillary right central incisor had sustained a oblique crown root fracture with pulp exposure. The treatment included endodontic procedure and orthodontic root extrusion using MBT mini brackets of .022 slots with ligation of .012 nickel titanium wire before going to prosthetic rehabilitation. Approximately 4.00 mm of extrusion of the tooth was obtained within 21 days with 0.5 mm extrusion of fracture margin supragingivally. A fiber post cementation, use of diode laser to correct the gingival margin and final restoration was performed with a porcelain fused to metal crown. Keywords: Crown Root fracture, Multidisciplinary management, Root canal treatment.