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Management of subgingivally fractured maxillary anterior tooth: a multidisciplinary approach
  1. Anamika Thakur1,
  2. Karandeep S Arora2,
  3. Kirandeep Kaur3 and
  4. Surya Dahiya1
  1. 1 Department of Conservative Dentistry and Endodontics, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
  2. 2 Department of Oral Medicine and Radiology, Maharishi Markandeshwar College of Dental Sciences and Research, Ambala, Haryana, India
  3. 3 Rhinelander Dental Center, Marshfield Clinic, Wisconsin, USA
  1. Correspondence to Dr Karandeep S Arora, drkaranarora{at}


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.

  • dentistry and oral medicine
  • virtual rehabilitation
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  • Contributors AT: responsible for concept, design, contents, literature, histopathological diagnosis, manuscript preparation. SD: responsible for design, contents, literature review, histopathological analysis, and manuscript editing. KK: responsible for literature search, data analysis, data compilation, manuscript drafting. KSA: responsible for evaluation of radiographs, literature search, manuscript editing, and manuscript reviewing. All the authors had approved the final draft of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Parental\guardian consent obtained.

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