Multidisciplinary approach to the treatment of an oblique crown-root fracture.
This case report describes the management of an oblique crown-root fracture of the buccal cusp of the upper right first premolar. After removal of the fractured cusp, a provisional restorative build-up in this area was carried out, in order to carry out an endodontic treatment in a sterile environment. A glass fibre post and core were then constructed and over a 90-day period the tooth was extruded orthodontically by 4 mm. The periodontal fibres associated with this tooth were cut with a tiny surgical blade to help to prevent reintrusion of the tooth and achieve fine contouring of the gingival margins. The new tooth position was maintained with a retainer for a further 60 days and after a period with a provisional acrylic crown, a porcelain bonded crown was fitted. This case report demonstrates that such a multidisciplinary treatment approach to an oblique subgingival fracture is a reliable and predictable manner in which to save a tooth that would have otherwise been difficult, if not impossible, to restore with a resultant good long-term prognosis.
Bate
Anna-Louise
AL
Endodontic Referral Practice, Cuneo (CN), Italy. endoanna@tin.it
Lerda
Fabrizio
F
D005260:Female; D005890:Gingivectomy; D006801:Humans; D050793:Orthodontic Extrusion; D010348:Patient Care Team; D011176:Post and Core Technique; D012390:Root Canal Therapy; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000628:therapy*; D014092:Tooth Root / Q000293:injuries; D055815:Young Adult