Mandibular molar rehabilitation using orthodontic extrusion associated with odontoplasty.
The aim of this clinical report is to describe the successful treatment of a mandibular first molar presenting an extensive fracture at the buccal aspect in a young patient. The extension of the fracture was a negative prognostic factor for tooth maintenance. An alternative clinical treatment was proposed since the patient was young and presented with good oral hygiene and periodontal health. The treatment was based on orthodontic forced eruption associated with odontoplasty. A 3-year follow-up after the surgical procedure demonstrated the maintenance of periodontal health and good plaque control. It can be concluded that orthodontic forced eruption associated with odontoplasty promoted favorable conditions for prosthetic rehabilitation and is a feasible procedure in the treatment of tooth fracture extended below the cementoenamel junction.
Department of Stomatology, University of São Paulo, São Paulo, Brazil.
João Batista
JB
Cesar-Neto
Josué
J
Martos
Luciano
L
Artifon
Luiz Fernando Machado
LF
Silveira
Douver
D
Michelon
Alexandre Severo
AS
Masotti
José Carlos Maciel
JC
Silva
D000328:Adult; D016556:Crown Lengthening / Q000379:methods; D003442:Crowns; D003743:Dental Enamel / Q000293:injuries; D017267:Dental Prosthesis Design; D003804:Dentin / Q000293:injuries; D005500:Follow-Up Studies; D005893:Gingivoplasty / Q000379:methods; D006801:Humans; D008297:Male; D008334:Mandible; D016876:Metal Ceramic Alloys / Q000737:chemistry; D008963:Molar / Q000293:injuries* / Q000601:surgery; D050793:Orthodontic Extrusion / Q000379:methods*; D011176:Post and Core Technique / Q000295:instrumentation; D019237:Tooth Cervix / Q000293:injuries; D014082:Tooth Fractures / Q000534:rehabilitation*; D016896:Treatment Outcome
D016876:Metal Ceramic Alloys