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CASE REPORT
Year : 2011  |  Volume : 1  |  Issue : 2  |  Page : 96-99

Extrusion of fractured anterior tooth - An invisible approach


1 Professor and Head, Dept. of Orthodontics and Dentofacial Orthopedics, Sree Balaji Dental College and Hospital, Chennai, India
2 Senior Lecturer, Dept. of Orthodontics and Dentofacial Orthopedics, Sree Balaji Dental College and Hospital, Chennai, India
3 Postgraduate Student, Dept. of Orthodontics and Dentofacial Orthopedics, Sree Balaji Dental College and Hospital, Chennai, India

Correspondence Address:
R V Murali
Professor and Head, Dept. of Orthodontics and Dentofacial Orthopedics, Sree Balaji Dental College and Hospitals, Pallikaranai, Chennai - 600 100
India
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Source of Support: None, Conflict of Interest: None


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Case report: The management of patients with traumatic injuries to their dentition is an integral part of general dental practice. The purpose of this paper is to discuss the immediate endodontic and orthodontic (lingual) management of traumatized anterior teeth with fracture at the subgingival level, which otherwise would have gone for extraction. History and clinical finding: A 24-year-old male reported with fractured left central incisor following road traffic accident. On clinical examination, it was observed that the upper left central incisor had a horizontal fracture at the cervical one-third level with the fracture line extending subgingivally on palatal side. The traumatized tooth was first treated endodontically, and then referred to our department for orthodontic extrusion before permanent crown placement. Treatment plan: Treatment plan was to extrude the fractured anterior tooth in order to keep the restorative margin supragingival. This was to be followed by a metal cast post and metal free ceramic crown to complete the restoration of tooth. Invisible approach (lingual orthodontics) was used as the patient was insistent upon the braces not being seen outside during the course of the treatment. Conclusion: Tooth extrusion techniques offers excellent treatment option for subgingival fractures. It is a well-documented clinical method for altering the relation between a nonrestorable tooth and its attachment apparatus, extruding sound tooth material from within the alveolar socket by light forces. The use of the lingual technique for forced eruption enhance acceptance of orthodontic treatment by adult patients.


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