Aesthetic rehabilitation of a complicated crown-root fracture of the maxillary incisor: combination of orthodontic and implant treatment

Made available in DSpace on 2015-08-06T16:13:12Z (GMT). No. of bitstreams: 0 Previous issue date: 2014. Added 1 bitstream(s) on 2015-08-06T16:43:42Z : No. of bitstreams: 1 ISSN2090-6447-2014-2014-01-08.pdf: 6435515 bytes, checksum: 91ca6a70fe3844c8b5e20fec571988cb (MD5) The aim of this paper is to present a complex rehabilitation, of fractured tooth, with implants in anterior region considering the orthodontics extrusion to clinical success. At 7 years old, the patient fractured the maxillary left central incisor and the dentist did a crown with the fragment. Twenty years later, the patient was referred to a dental clinic for orthodontic treatment, with the chief complaint related to an accentuated deep bite, and a professional started an orthodontic treatment. After sixteen months of orthodontic treatment, tooth 21 fractured. The treatment plan included an orthodontic extrusion of tooth 21 and implant placement. This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient. The forced extrusion can be a viable treatment option in the management of crown root fracture of an anterior tooth to gain bone in a vertical direction. This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary. Universidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Materiais Odontológicos e Prótese, Faculdade de Odontologia de Araraquara, Araraquara, Rua Humaitá, n. 1680, Centro, CEP 14801-903, SP, Brasil University of Sagrado Coração, Department of Orthodontics, 10-50 Irma Arminda Street, 17011-160 Bauru, SP, Brazil Campinas State University, Department of Physiological Sciences, Piracicaba Dental School, 901 Limeira Avenue, 13414-903 Piracicaba, SP, Brazil Universidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Materiais Odontológicos e Prótese, Faculdade de Odontologia de Araraquara, Araraquara, Rua Humaitá, n. 1680, Centro, CEP 14801-903, SP, Brasil Universidade Estadual Paulista Júlio de Mesquita Filho, Department of Diagnostic and Surgery, Araraquara School of Dentistry, 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil Universidade Estadual Paulista Júlio de Mesquita Filho, Department of Social Dentistry, Araraquara School of Dentistry, 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil