Restor Dent Endod.  2016 Aug;41(3):210-217. 10.5395/rde.2016.41.3.210.

Esthetic enhancement of a traumatized anterior tooth with a combination of forced eruption and tooth alignment: a case report

Affiliations
  • 1Department of Conservative Dentistry, Kyungpook National University School of Dentistry, Daegu, Korea. wisekim@knu.ac.kr

Abstract

Exposing sound structure of a subgingivally fractured tooth using orthodontic extrusion is considered to be a conservative way to re-establish biologic width without sacrificing esthetics or jeopardizing periodontal support of neighboring teeth. When a misaligned tooth is traumatically involved, a more comprehensive approach combining tooth extrusion and re-alignment may be necessary for a successful restorative outcome. This case report describes a successful esthetic management of a patient with complicated crown-root fracture on the maxillary right central incisor and pre-existing malocclusion in the maxillary anterior region. Forced eruption along with re-alignment of teeth by orthodontic movement seems to allow re-positioning of the fracture line to a favorable position and correction of crowding, providing a better esthetic result.

Keyword

Complicated crown-root fracture; Comprehensive approach; Forced eruption; Interproximal reduction; Tooth alignment

MeSH Terms

Crowding
Esthetics
Humans
Incisor
Malocclusion
Orthodontic Extrusion*
Tooth*
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