Interdisciplinary rehabilitation of a root-fractured maxillary central incisor: A 12-year follow-up case report / 대한치과교정학회지
The Korean Journal of Orthodontics
; : 217-225, 2014.
Article
in En
| WPRIM
| ID: wpr-69102
Responsible library:
WPRO
ABSTRACT
Single-tooth implantation has become a common treatment solution for replacement of a root-fractured maxillary incisor in adults, but the long-term esthetic results can be unfavorable due to progressive marginal bone loss, resulting in gingival recession. In this case report, a maxillary central incisor with a root fracture in its apical one-third was orthodontically extruded and extracted in a 21-year-old female. Implant surgery was performed after a 3-month healing period, and the final crown was placed about 12 months after extraction. After 12 years, favorable osseous and gingival architectures were visible with adequate bone height and thickness at the buccal cortical plate, and no gingival recession was seen around the implant-supported crown. Although modern dentistry has been shifting toward simplified, clinical procedures and shorter treatment times, both general dentists and orthodontists should be aware of the possible long-term esthetic advantages of orthodontic extrusion of hopelessly fractured teeth for highly esthetically demanding areas and should educate and motivate patients regarding the choice of this treatment solution, if necessary.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Rehabilitation
/
Tooth
/
Follow-Up Studies
/
Dental Implants, Single-Tooth
/
Crowns
/
Dentistry
/
Dentists
/
Orthodontic Extrusion
/
Gingival Recession
/
Incisor
Type of study:
Observational_studies
/
Prognostic_studies
Limits:
Adult
/
Female
/
Humans
Language:
En
Journal:
The Korean Journal of Orthodontics
Year:
2014
Type:
Article