title: Multidisciplinary treatment approach to restore deep horizontally fractured maxillary central incisor.
abstract: This case report demonstrates sequential periodontic, orthodontic and prosthodontic treatment modalities to save and restore deep horizontally fractured maxillary central incisor. The location of fracture was deep in the mucosa which reveals less than 2 mm of tooth structure to receive the crown. The procedures like surgical crown lengthening, endodontic post placement, orthodontic forced eruption, core build-up and metal-ceramic crown restoration were sequentially performed to conserve the fractured tooth. Forced eruption is preferred to surgical removal of supporting alveolar bone, since forced eruption preserves the biologic width, maintains esthetics, and at the same time exposes sound tooth structure for the placement of restorative margins.
authors.affiliation: Senior Lecturer, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia.
authors.forename: Pravinkumar G
authors.initials: PG
authors.lastname: Patil
authors.affiliation: Assistant Professor, Department of Orthodontics, SDKS Dental College and Hospital, Nagpur, Maharashtra, India.
authors.forename: Smita P
authors.initials: SP
authors.lastname: Nimbalkar-Patil
authors.affiliation: Private Practice, Mumbai, Maharashtra, India.
authors.forename: Aamod B
authors.initials: AB
authors.lastname: Karandikar
mesh_terms: D001642:Bicycling / Q000293:injuries; D016556:Crown Lengthening / Q000379:methods; D003442:Crowns; D017267:Dental Prosthesis Design; D004955:Esthetics, Dental; D005881:Gingiva / Q000033:anatomy & histology; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008297:Male; D008437:Maxilla; D016876:Metal Ceramic Alloys / Q000737:chemistry; D050793:Orthodontic Extrusion / Q000295:instrumentation; D010347:Patient Care Planning; D010348:Patient Care Team; D011176:Post and Core Technique; D018915:Root Canal Preparation / Q000379:methods; D014082:Tooth Fractures / Q000628:therapy*; D019553:Tooth, Nonvital / Q000628:therapy; D055815:Young Adult
chemical_list: D016876:Metal Ceramic Alloys