A Multidisciplinary and Multipronged Approach for the Management of Subgingivally Fractured Incisors ? A Case Report

This case report describes the management of a subgingivally complicated crown root fracture of upper anterior teeth using different treatment approaches. A 26 year old patient was referred to the Department of Conservative Dentistry for the management of his traumatized maxillary incisors. Tooth 11 had a subgingival crown root fracture, the mobile coronal fragment was extracted atraumatically. Gingivectomy was performed with electrosurgery to expose remaining subgingival fragment. This was followed by single visit endodontic therapy, placement of prefabricated fibre post and core buildup with composite resin. Since 21 had Ellis class I fracture and vitality tests were normal, it was decided to be treated with direct composite restoration. In 22 the small mobile palatal fragment was removed followed by single visit endodontic therapy and subsequent composite core build up. Results evaluation of 9 months follow up after treatment revealed good esthetics, good periodontal health & normal function.