Thakur Anamika, Arora Karandeep S, Kaur Kirandeep, Dahiya Surya
Department of Conservative Dentistry and Endodontics, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India.
Department of Oral Medicine and Radiology, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India.
BMJ Case Rep. 2019 Jul 18;12(7):e231036. doi: 10.1136/bcr-2019-231036.
The major challenge in traumatic injuries is the management of subgingival fracture of anterior teeth. Forced orthodontic extrusion is a suitable approach for these teeth as it provides both a sound tissue margin for final restoration and creates a periodontal environment (biological width) which is easy for the patient to maintain. Restoration after orthodontic eruption may present a more conservative treatment choice in young patients compared with the prosthetic restoration after extraction. This paper reports a case of the fractured maxillary anterior tooth at the subgingival level that was managed by forced orthodontic extrusion after endodontic therapy followed by aesthetic rehabilitation, a much-forgotten technique not utilised routinely yet conservative and cost-effective.
创伤性损伤中的主要挑战是前牙龈下骨折的处理。正畸强制牵引是处理这些牙齿的一种合适方法，因为它既能为最终修复提供良好的组织边缘，又能创造一个患者易于维持的牙周环境（生物学宽度）。与拔牙后的修复修复相比，正畸萌出后的修复在年轻患者中可能是一种更保守的治疗选择。本文报告了一例上颌前牙龈下水平骨折的病例，该病例在根管治疗后通过正畸强制牵引进行处理，随后进行美学修复，这是一种常被遗忘但保守且经济有效的技术，尚未被常规使用。
