J Dent Rehabil Appl Sci.  2020 Mar;36(1):48-54. 10.14368/jdras.2020.36.1.48.

Conservative approach for anterior crown-root fractured teeth: forced eruption

• Kim JE
• Choi SH
• Chang HS
• Hwang YC
• Hwang IN
• Oh WM

• KMID: 2512128
• DOI: http://doi.org/10.14368/jdras.2020.36.1.48

Abstract

In the case of crown-root fracture due to traumatic injury in anterior tooth and the fracture margin is located subgingivally,forced eruption has been proposed for the reconstruction of deficient bone and soft tissue. Forced eruption is one of the easiest orthodontic approaches that can have an acceptable outcome and prognosis, and has a low incidence of relapse. However, using heavy forces or very fast movements can also cause tissue damage or ankylosis. The following case reports present forced eruption as treatment option of crown fracture in maxillary anterior teeth.

Keyword

aesthetic; anterior tooth; crown-root fracture; forced eruption

Figure

• 

  Fig. 1 (A) Pretreatment frontal view of the fractured maxillary right lateral incisor, (B) Pretreatment palatal view of the fractured maxillary right lateral incisor, (C) Radiograph of maxillary right lateral incisor before treatment.

• 

  Fig. 2 (A) Frontal view during forced eruption, (B) Palatal view during forced eruption.

• 

  Fig. 3 (A) Radiograph of maxillary right lateral incisor after post and core restoration, (B) Post-treatment frontal view of maxillary right lateral incisor, (C) Radiograph of maxillary right lateral incisor after treatment.

• 

  Fig. 4 (A) Post-treatment frontal view of maxillary right lateral incisor after 6 months, (B) Radiograph of maxillary right lateral incisor after 6 months.

• 

  Fig. 5 (A) Pretreatment frontal view of the fractured maxillary right incisor, (B) Radiograph of maxillary right incisor before treatment.

• 

  Fig. 6 (A) Frontal view during forced eruption, (B) Radiograph of maxillary right incisor during forced eruption.

• 

  Fig. 7 (A) Frontal view during post insertion, (B) Radiograph of maxillary right incisor after post and core restoration, (C) Post-treatment frontal view of maxillary right incisor.

Reference

1. Poi WR, Cardoso Lde C, de Castro JC, Cintra LT, Gulinelli JL, de Lazari JA. 2007; Multidisciplinary treatment approach for crown fracture and crown-root fracture - a case report. Dent Traumatol. 23:51–5. DOI: 10.1111/j.1600-9657.2005.00373.x. PMID: 17227382.

2. Stevens BH, Levine RA. 1998; Forced eruption: a multidisciplinary approach for form, function, and biologic predictability. Compend Contin Educ Dent. 19:994–8. 10001002-4 passimPMID: 10371882.

3. Ingber JS. 1976; Forced eruption: part II. A method of treating nonrestorable teeth-periodontal and restorative considerations. 47:203–16. DOI: 10.1902/jop.1976.47.4.203. PMID: 1063857.

4. Geiger AM, Bronsky MJ. 1994; Orthodontic management of ankylosed permanent posterior teeth: a clinical report of three cases. Am J Orthod Dentofacial Orthop. 106:543–8. DOI: 10.1016/S0889-5406(94)70078-8. PMID: 7503826.

5. Ziskind D, Schmidt A, Hirschfeld Z. 1998; Forced eruption technique: rationale and clinical report. J Prosthet Dent. 79:246–8. DOI: 10.1016/S0022-3913(98)70231-8. PMID: 9553873.

6. Reitan K. 1967; Clinical and histologic observations on tooth movement during and after orthodontic treatment. Am J Orthod. 53:721–45. DOI: 10.1016/0002-9416(67)90118-2. PMID: 5233926.

7. Emerich-Poplatek K, Sawicki L, Bodal M, Adamowicz-Klepalska B. 2005; Forced eruption after crown/root fracture with a simple and aesthetic method using the fractured crown. Dent Traumatol. 21:165–9. DOI: 10.1111/j.1600-9657.2005.00287.x. PMID: 15876329.

8. Khuller N, Sharma N. 2009; Biologic width: Evaluation and correction of its violation. J Oral Health Comm Dent. 3:20–5. DOI: 10.5005/johcd-3-1-20.

9. Stern N, Becker A. 1980; Forced eruption: biological and clinical considerations. J Oral Rehabil. 7:395–402. DOI: 10.1111/j.1365-2842.1980.tb00458.x. PMID: 6936521.

10. Potashnick S, Rosenberg ES. 1982; Forced eruption: principles in periodontics and restorative dentistry. J Prosthet Dent. 48:141–8. DOI: 10.1016/0022-3913(82)90100-7. PMID: 6125593.

11. Kwon EY, Lee JY, Choi J. 2016; Effect of slow forced eruption on the vertical levels of the interproximal bone and papilla and the width of the alveolar ridge. Korean J Orthod. 46:379–85. DOI: 10.4041/kjod.2016.46.6.379. PMID: 27896212. PMCID: PMC5118217.

12. Kim SY, Lee SH, Lee NY, Jih MK. 2018; Forced eruption with customized resin tube appliance. Oral Biol Res. 42:45–52. DOI: 10.21851/obr.42.01.201803.45.

13. Singh AR, Verma R. 2011; Crown lengthening vs forced eruption. Orthodont J Nepal. 1:52–5. DOI: 10.3126/ojn.v1i1.9368.