title: Aesthetic rehabilitation of a complicated crown-root fracture of the maxillary incisor: combination of orthodontic and implant treatment.
abstract: 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.
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.
authors.forename: Erica Dorigatti
authors.initials: ED
authors.lastname: de Avila
authors.affiliation: Department of Diagnostic and Surgery, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.
authors.forename: Rafael Scaf
authors.initials: RS
authors.lastname: de Molon
authors.affiliation: Department of Orthodontics, University of Sagrado Coracao, 10-50 Irma Arminda Street, 17011-160 Bauru, SP, Brazil.
authors.forename: Mauricio de Almeida
authors.initials: Mde A
authors.lastname: Cardoso
authors.affiliation: Department of Orthodontics, University of Sagrado Coracao, 10-50 Irma Arminda Street, 17011-160 Bauru, SP, Brazil.
authors.forename: Leopoldino
authors.initials: L
authors.lastname: Capelozza Filho
authors.affiliation: Department of Physiological Sciences, Piracicaba Dental School, Campinas State University, 901 Limeira Avenue, 13414-903 Piracicaba, SP, Brazil.
authors.forename: Marilia Mattar de Amoêdo
authors.initials: MM
authors.lastname: Campos Velo
authors.affiliation: Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.
authors.forename: Francisco de Assis
authors.initials: Fde A
authors.lastname: Mollo
authors.affiliation: Department of Social Dentistry, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil.
authors.forename: Luiz Antonio
authors.initials: LA
authors.lastname: Borelli Barros