Indian Journal of Public Health Research & Development

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Intentional Replantation of Oblique Crown-ischolar_main Fracture - a Case Report


Affiliations
1 Department of Prosthodontics, Babu Banarasi Das college of Dental Sciences, B.B.D University, Lucknow, UP, India
2 Pedodontics, Faculty of Dental Sciences, I.M.S, B.H.U, Varanasi, UP, India
3 Department of Prosthodontics, Modern Dental College & Research centre, Gandhi Nagar Indore, MP, India
     

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The purpose of this case presentation is to review the clinical procedures involved in intentional replantation of a maxillary central incisor following a complicated crown-ischolar_main fracture. The treatment of complicated crown-ischolar_main fractures is often compromised by a fracture below the gingival margin and/or bone. This makes isolation difficult and comprises the hermetic seal that is critical for a successful endodontic treatment. Orthodontic or surgical extrusion with gingivectomy has been suggested; however, these approaches can be expensive, time-consuming, esthetically compromising, and unsatisfactory when the fracture line is deep below the gingiva. Our presentation will discuss the treatment options for such cases and introduce the concept of intentional replantation as an option to manage oblique crown-ischolar_main fractures in permanent anterior teeth.

Keywords

Biological Width, Crown Root Fracture, Intentional Replantation, Root Resoption, Semi Rigid Retention
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  • Intentional Replantation of Oblique Crown-ischolar_main Fracture - a Case Report

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Authors

Manoj Upadhyay
Department of Prosthodontics, Babu Banarasi Das college of Dental Sciences, B.B.D University, Lucknow, UP, India
Vinod Upadhyay
Pedodontics, Faculty of Dental Sciences, I.M.S, B.H.U, Varanasi, UP, India
Amrit Tandan
Department of Prosthodontics, Babu Banarasi Das college of Dental Sciences, B.B.D University, Lucknow, UP, India
Vivek Choukse
Department of Prosthodontics, Modern Dental College & Research centre, Gandhi Nagar Indore, MP, India
Sulabh Kumar
Department of Prosthodontics, Babu Banarasi Das college of Dental Sciences, B.B.D University, Lucknow, UP, India

Abstract


The purpose of this case presentation is to review the clinical procedures involved in intentional replantation of a maxillary central incisor following a complicated crown-ischolar_main fracture. The treatment of complicated crown-ischolar_main fractures is often compromised by a fracture below the gingival margin and/or bone. This makes isolation difficult and comprises the hermetic seal that is critical for a successful endodontic treatment. Orthodontic or surgical extrusion with gingivectomy has been suggested; however, these approaches can be expensive, time-consuming, esthetically compromising, and unsatisfactory when the fracture line is deep below the gingiva. Our presentation will discuss the treatment options for such cases and introduce the concept of intentional replantation as an option to manage oblique crown-ischolar_main fractures in permanent anterior teeth.

Keywords


Biological Width, Crown Root Fracture, Intentional Replantation, Root Resoption, Semi Rigid Retention

References