Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup
The general dental practitioner must consider orthodontic extrusion of a tooth when a subgingival defect, such as, crown fracture occurs before prosthetic rehabilitation, especially in the aesthetic zone. Extrusion enables the root portion to be elevated which exposes sound tooth structure for place...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2012/192912 |
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| _version_ | 1832565862612074496 |
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| author | Madhavi R. Kondapuram Seshu Christopher Leslie Gash |
| author_facet | Madhavi R. Kondapuram Seshu Christopher Leslie Gash |
| author_sort | Madhavi R. Kondapuram Seshu |
| collection | DOAJ |
| description | The general dental practitioner must consider orthodontic extrusion of a tooth when a subgingival defect, such as, crown fracture occurs before prosthetic rehabilitation, especially in the aesthetic zone. Extrusion enables the root portion to be elevated which exposes sound tooth structure for placement of restorative margins. This case report describes the multidisciplinary management of a fractured upper first premolar in a general dental practice. The forced orthodontic eruption is achieved by an endodontic attachment and sectional fixed appliance with an offset placed in the wire. The ability to extrude premolars with this method is complicated by heavy occlusal forces, occlusal interferences, and short clinical crown length. The tooth was restored with a titanium post, composite core, and porcelain fused to metal crown. The entire course of treatment was carried out under National Health Scheme, UK and as a part of vocational training. The 21 months followup showed no change in occlusal contacts or gingival level. |
| format | Article |
| id | doaj-art-6daa56bf47694d05b70be898fd4f5afa |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-6daa56bf47694d05b70be898fd4f5afa2025-02-03T01:06:20ZengWileyCase Reports in Dentistry2090-64472090-64552012-01-01201210.1155/2012/192912192912Multidisciplinary Management of a Fractured Premolar: A Case Report with FollowupMadhavi R. Kondapuram Seshu0Christopher Leslie Gash1Iscraig Dental Surgery, Conwy, Wales LL32 8LD, UKIscraig Dental Surgery, Conwy, Wales LL32 8LD, UKThe general dental practitioner must consider orthodontic extrusion of a tooth when a subgingival defect, such as, crown fracture occurs before prosthetic rehabilitation, especially in the aesthetic zone. Extrusion enables the root portion to be elevated which exposes sound tooth structure for placement of restorative margins. This case report describes the multidisciplinary management of a fractured upper first premolar in a general dental practice. The forced orthodontic eruption is achieved by an endodontic attachment and sectional fixed appliance with an offset placed in the wire. The ability to extrude premolars with this method is complicated by heavy occlusal forces, occlusal interferences, and short clinical crown length. The tooth was restored with a titanium post, composite core, and porcelain fused to metal crown. The entire course of treatment was carried out under National Health Scheme, UK and as a part of vocational training. The 21 months followup showed no change in occlusal contacts or gingival level.http://dx.doi.org/10.1155/2012/192912 |
| spellingShingle | Madhavi R. Kondapuram Seshu Christopher Leslie Gash Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup Case Reports in Dentistry |
| title | Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup |
| title_full | Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup |
| title_fullStr | Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup |
| title_full_unstemmed | Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup |
| title_short | Multidisciplinary Management of a Fractured Premolar: A Case Report with Followup |
| title_sort | multidisciplinary management of a fractured premolar a case report with followup |
| url | http://dx.doi.org/10.1155/2012/192912 |
| work_keys_str_mv | AT madhavirkondapuramseshu multidisciplinarymanagementofafracturedpremolaracasereportwithfollowup AT christopherlesliegash multidisciplinarymanagementofafracturedpremolaracasereportwithfollowup |