2. Pre- Op
• A 24 year old male was referred
to the Department with a
fractured upper left central
incisor (21) subsequent to an
injury.
• On clinical examination, it was
observed that the upper right
central incisor had a horizontal
fracture at the cervical 1/3rd level
with the fracture line extending
sub-gingivally on palatal side.
Dr.R.V.Murali poster No.29
Slide No. 2
3. • To keep the margin of restoration
supragingival, a multidisciplinary
approach is necessary for a subgingivally
fractured teeth.
• In this case, though orthodontic extrusion
was the obvious choice, the patient
wanted aesthetic treatment for his
problem.
• Lingual Orthodontics is the only
solution for such aesthetically
challenging cases.
Slide No. 3 Dr.R.V.Murali poster No.29
4. Composite
Following buildup
supracrestal
fiberotomy
procedure
gingivectomy
was done to
contour the
gingival line
Dr.R.V.Murali poster No.29
Slide No. 4
5. Extrusion as evidenced with IOPA
Radiographs, Before & After
Extrusion
Dr.R.V.Murali poster No.29
Slide No. 5
6. Aesthetic restoration of Central Incisor-
Start to finish!
Post Treatment with
Pre Treatment post & crown
Slide No. 6 Dr.R.V.Murali poster No.29
7. Aesthetic restoration of Central Incisor-
Start to finish!
Post Treatment with
Pre Treatment post & crown
Slide No. 6 Dr.R.V.Murali poster No.29
