Management of lateral incisor fractured at crestal level: An interdisciplinary case report

Abstract

A successful restoration should not be limited to achieve esthetic and functional needs; it should also respect the dentogingival unit. A restoration, especially in a fractured tooth or short clinical crown, may violate biological width thus jeopardizing periodontal health, resulting in chronic inflammatory response and thereby inviting failure. Although crown lengthening can be achieved using surgical procedure, it is associated with removal of healthy bone and thus altering the crown length of the adjacent teeth. This article reports a case with 2½ years of clinical and radiographic follow-up success of maxillary left lateral incisor with crown-root fracture using orthodontic extrusion and fibrotomy.

Keywords

• Biological width
• extrusion
• fibrotomy