Multidisciplinary approach to the management of a subgingivally fractured anterior tooth using an aligner based esthetic orthodontic extrusion appliance – A case report

[摘要] Restoration of a subgingivally fractured tooth, especially at anterior esthetic zones, is still a great challenge for restorative dentists. This case report describes the management of a subgingivally fractured central incisor of a healthy 27 year old male patient using a conservative approach while maintaining esthetics throughout the treatment with the help of a clear aligner. An interdisciplinary approach was followed that included nonsurgical endodontic therapy followed by orthodontic extrusion, crown lengthening, and post-endodontic restoration with a custom cast post and porcelain-fused-to-metal crown. The tooth was asymptomatic clinically and radiographically at 1-year follow-up. This method can be an innovative solution to patients who demand instant resolution to their esthetic issues. The present case also reports management of relapse of orthodontically extruded tooth.

[学科分类] 口腔科学

[关键词] Esthetic;forced eruption;multidisciplinary communication;orthodontic extrusions