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Case Reports in Dentistry
Volume 2014 (2014), Article ID 925363, 8 pages
http://dx.doi.org/10.1155/2014/925363
Case Report

Aesthetic Rehabilitation of a Complicated Crown-Root Fracture of the Maxillary Incisor: Combination of Orthodontic and Implant Treatment

1Department of Dental Materials and Prosthodontics, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil
2 Department of Diagnostic and Surgery, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil
3Department of Orthodontics, University of Sagrado Coracao, 10-50 Irma Arminda Street, 17011-160 Bauru, SP, Brazil
4Department of Physiological Sciences, Piracicaba Dental School, Campinas State University, 901 Limeira Avenue, 13414-903 Piracicaba, SP, Brazil
5 Department of Social Dentistry, Araraquara School of Dentistry, São Paulo State University (UNESP), 1680 Humaita Street, 14801-903 Araraquara, SP, Brazil

Received 5 March 2014; Accepted 10 April 2014; Published 29 April 2014

Academic Editor: Yuk-Kwan Chen

Copyright © 2014 Érica Dorigatti de Avila et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this paper is to present a complex rehabilitation, of fractured tooth, with implants in anterior region considering the orthodontics extrusion to clinical success. At 7 years old, the patient fractured the maxillary left central incisor and the dentist did a crown with the fragment. Twenty years later, the patient was referred to a dental clinic for orthodontic treatment, with the chief complaint related to an accentuated deep bite, and a professional started an orthodontic treatment. After sixteen months of orthodontic treatment, tooth 21 fractured. The treatment plan included an orthodontic extrusion of tooth 21 and implant placement. This case has been followed up and the clinical and radiographic examinations show excellence esthetic results and satisfaction of patient. The forced extrusion can be a viable treatment option in the management of crown root fracture of an anterior tooth to gain bone in a vertical direction. This case emphasizes that to achieve the esthetic result a multidisciplinary approach is necessary.