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.

Alessandri Bonetti G, Incerti Parenti S, Ciocci M, Checchi L (2014). Interdisciplinary rehabilitation of a root-fractured maxillary central incisor: A 12-year follow-up case report. THE KOREAN JOURNAL OF ORTHODONTICS, 44(4), 217-225 [10.4041/kjod.2014.44.4.217].

Interdisciplinary rehabilitation of a root-fractured maxillary central incisor: A 12-year follow-up case report

ALESSANDRI BONETTI, GIULIO;INCERTI PARENTI, SERENA;CHECCHI, LUIGI
2014

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.
2014
Alessandri Bonetti G, Incerti Parenti S, Ciocci M, Checchi L (2014). Interdisciplinary rehabilitation of a root-fractured maxillary central incisor: A 12-year follow-up case report. THE KOREAN JOURNAL OF ORTHODONTICS, 44(4), 217-225 [10.4041/kjod.2014.44.4.217].
Alessandri Bonetti G; Incerti Parenti S; Ciocci M; Checchi L
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/338516
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