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Aesthetic rehabilitation of a complicated crown-root fracture of the maxillary incisor: combination of orthodontic and implant treatment.

de Avila ED, de Molon RS, Cardoso Mde A, Capelozza Filho L, Campos Velo MM, Mollo Fde A, Borelli Barros LA - Case Rep Dent (2014)

Bottom Line: After sixteen months of orthodontic treatment, tooth 21 fractured.This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient.This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.

View Article: PubMed Central - PubMed

Affiliation: Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.

ABSTRACT
The aim of this paper is to present a complex rehabilitation, of fractured tooth, with implants in anterior region considering the orthodontics extrusion to clinical success. At 7 years old, the patient fractured the maxillary left central incisor and the dentist did a crown with the fragment. Twenty years later, the patient was referred to a dental clinic for orthodontic treatment, with the chief complaint related to an accentuated deep bite, and a professional started an orthodontic treatment. After sixteen months of orthodontic treatment, tooth 21 fractured. The treatment plan included an orthodontic extrusion of tooth 21 and implant placement. This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient. The forced extrusion can be a viable treatment option in the management of crown root fracture of an anterior tooth to gain bone in a vertical direction. This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.

No MeSH data available.


Related in: MedlinePlus

Images showing the provisional crown, restoring the maxillary right central incisor and gingival tissue after four months.
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Related In: Results  -  Collection


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fig9: Images showing the provisional crown, restoring the maxillary right central incisor and gingival tissue after four months.

Mentions: Four months later, the provisional crown was removed to evaluate the gingival tissue (Figures 9(a) and 9(b)). The gingival color, texture, and contour appeared similar to the adjacent soft tissues of the teeth (Figures 10(a) and 10(b)). The definitive prosthesis was created eight months after the implant surgery, with implant and peri-implant tissue impressions obtained to create a custom abutment in zirconia with a CAD/CAM system (Figures 11(a) and 11(b)). This case has been followed up, and the clinical and radiographic examinations have shown excellent aesthetic results (Figures 12(a)to 12(d)) and satisfaction of the patient. Clinical success was achieved in this case with multidisciplinary treatment after 1-year follow-up (Figures 13(a)to 13(e)).


Aesthetic rehabilitation of a complicated crown-root fracture of the maxillary incisor: combination of orthodontic and implant treatment.

de Avila ED, de Molon RS, Cardoso Mde A, Capelozza Filho L, Campos Velo MM, Mollo Fde A, Borelli Barros LA - Case Rep Dent (2014)

Images showing the provisional crown, restoring the maxillary right central incisor and gingival tissue after four months.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4020491&req=5

fig9: Images showing the provisional crown, restoring the maxillary right central incisor and gingival tissue after four months.
Mentions: Four months later, the provisional crown was removed to evaluate the gingival tissue (Figures 9(a) and 9(b)). The gingival color, texture, and contour appeared similar to the adjacent soft tissues of the teeth (Figures 10(a) and 10(b)). The definitive prosthesis was created eight months after the implant surgery, with implant and peri-implant tissue impressions obtained to create a custom abutment in zirconia with a CAD/CAM system (Figures 11(a) and 11(b)). This case has been followed up, and the clinical and radiographic examinations have shown excellent aesthetic results (Figures 12(a)to 12(d)) and satisfaction of the patient. Clinical success was achieved in this case with multidisciplinary treatment after 1-year follow-up (Figures 13(a)to 13(e)).

Bottom Line: After sixteen months of orthodontic treatment, tooth 21 fractured.This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient.This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.

View Article: PubMed Central - PubMed

Affiliation: Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.

ABSTRACT
The aim of this paper is to present a complex rehabilitation, of fractured tooth, with implants in anterior region considering the orthodontics extrusion to clinical success. At 7 years old, the patient fractured the maxillary left central incisor and the dentist did a crown with the fragment. Twenty years later, the patient was referred to a dental clinic for orthodontic treatment, with the chief complaint related to an accentuated deep bite, and a professional started an orthodontic treatment. After sixteen months of orthodontic treatment, tooth 21 fractured. The treatment plan included an orthodontic extrusion of tooth 21 and implant placement. This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient. The forced extrusion can be a viable treatment option in the management of crown root fracture of an anterior tooth to gain bone in a vertical direction. This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.

No MeSH data available.


Related in: MedlinePlus