Interdisciplinary management of impacted maxillary central incisor with dilacerated crown.

Introduction: Dilaceration of the permanent teeth usually occurs because of trauma to their deciduous predecessors. Dilaceration in the crown is rare compared with that in the root and is more common in the maxillary and mandibular incisors. Generally, surgical exposure of the tooth followed by orthodontic traction or extraction of the tooth is the the choice of treatment.
Methods: This article highlights a surgical-endodontic approach to the management of the left permanent maxillary central incisor with dilaceration of the crown.
Results: The 1-year follow-up showed good stability of the prosthesis and good periodontal health.
Conclusions: Surgical resection of the crown followed by endodontic treatment and restoration is a viable and rapid option for the management of crown dilaceration.
(Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)