Saudi Endodontic Journal

CASE REPORT
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


Gayathri Parthiban1, Shweta Nagesh2, Rupali Karale1, Sumitra Reddy2 
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
India

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.


How to cite this article:
Parthiban G, Nagesh S, Karale R, Reddy S. Multidisciplinary approach to the management of a subgingivally fractured anterior tooth using an aligner based esthetic orthodontic extrusion appliance – A case report.Saudi Endod J 2020;10:157-161


How to cite this URL:
Parthiban G, Nagesh S, Karale R, Reddy S. Multidisciplinary approach to the management of a subgingivally fractured anterior tooth using an aligner based esthetic orthodontic extrusion appliance – A case report. Saudi Endod J [serial online] 2020 [cited 2020 Jul 11 ];10:157-161
Available from: http://www.saudiendodj.com/article.asp?issn=1658-5984;year=2020;volume=10;issue=2;spage=157;epage=161;aulast=Parthiban;type=0