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Year : 2020  |  Volume : 10  |  Issue : 2  |  Page : 157-161

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

1 Department of Conservative Dentistry and Endodontics, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India
2 Department of Orthodontics and Dentofacial Orthopedics, KLE Society's Institute of Dental Sciences, Bengaluru, Karnataka, India

Correspondence Address:
Gayathri Parthiban
Rani Chennamma Ladies, Hostel, 20, Tumkur Road, 2nd Stage, Yeshwanthpur Suburb, Bengaluru - 560 022, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/sej.sej_3_19

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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.

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