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Volume 7 Issue 5 (May, 2019)

Case Reports

Management of Sub-Gingival Caries of Anterior Tooth by Orthodontic Extrusion- A Case Report
Nidhi Singh, T.P.Chaturvedi, H. C. Baranwal

Traumatized anterior teeth with sub‑gingival crown fractures, perforation, root resorption, or caries in the cervical area of the tooth or sub-gingivally, especially in the anterior part of the mouth are challenge to treat. Management of sub‑gingival fractures includes exposing the cervical margin, above the gingiva followed by appropriate coronal restoration. Surgical crown lengthening or by orthodontic extrusion are the treatment modalities, which involve exposing the cervical margin. These case report of cariously exposed maxillary anterior tooth at the sub‑gingival level that was managed by orthodontic extrusion after endodontic treatment followed by esthetic rehabilitation, a technique not utilized routinely but yet conservative and cost‑effective. Key words: Orthodontic extrusion, Sub-gingival caries, biological width, gingivectomy, fiberotomy, prosthetic rehabilitation.

 
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