Surgical Extrusion With Immediate Aesthetics Of Crown - Root Fractured Anterior Teeth

ABSTRACT

Background: Aim: To study the outcome of single visit surgical extrusion and immediate aesthetic restoration of 15 cases of crown root fracture. Methods: Involved a conventional surgical extrusion method with elevators and stabilization with semi rigid fiber splint followed by immediate aesthetic composite buildup for restoration of aesthetics. Root canal treatment was completed after 3 weeks of Calcium hydroxide intracanal medicament. Results: Follow up examinations varying between 6 and 18 months, revealed no evident radiographic and clinical signs of root resorption, periapical disease and more important, marginal bone loss/gingival recession in any case. Conclusion: Highly favorable results of this clinical study reveal that single visit surgical extrusion with immediate aesthetics of crown root fractures may be an alternative to time consuming orthodontic extrusion which may create severe esthetic and emotional problems to patient.