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An esthetic appliance for the management of crown-root fracture: a case report

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초록

Orthodontic extrusion is usually performed by means of a fixed orthodontic appliance that utilizes arch wire attached to adjacent teeth and transfers the desired force by elastic from the wire to the root. However, clinicians often encounter cases where the bonding required for tooth traction is not possible because the adjacent teeth have been restored with ceramic or veneer. The purpose of this case report is to describe a modified orthodontic extrusion appliance that is useful when conventional orthodontic treatment is not possible. The modified appliance was fabricated using an artificial tooth, clear plastic sheeting, and a braided fiber-reinforced composite strip that covered adjacent teeth without bonding. It satisfied the esthetic and functional needs of the patient and established the optimal biologic width.

Abstract

Orthodontic extrusion is usually performed by means of a fixed orthodontic appliance that utilizes arch wire attached to adjacent teeth and transfers the desired force by elastic from the wire to the root. However, clinicians often encounter cases where the bonding required for tooth traction is not possible because the adjacent teeth have been restored with ceramic or veneer. The purpose of this case report is to describe a modified orthodontic extrusion appliance that is useful when conventional orthodontic treatment is not possible. The modified appliance was fabricated using an artificial tooth, clear plastic sheeting, and a braided fiber-reinforced composite strip that covered adjacent teeth without bonding. It satisfied the esthetic and functional needs of the patient and established the optimal biologic width.

참고문헌 (12)

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  3. Simon JH., "Root extrusion. Rationale and techniques", Dent Clin North Am, 28, pp.909~921 (1984)
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  5. Heithersay GS., "Combined endodontic-orthodontic treatment of transverse root fractures in the region of the alveolar crest", Oral Surg Oral Med Oral Pathol, 36, pp.404~415 (1973)
  6. Ribeiro JG, "Effect of ceramic surface treatment on the shear bond strength of a resin cement to different ceramic systems", Gen Dent, 60, pp.e315~e320 (2012)
  7. Ziskind D, "Forced eruption technique: rationale and clinical report", J Prosthet Dent, 79, pp.246~248 (1998)
  8. Emerich-Poplatek K, "Forced eruption after crown", root fracture with a simple and aesthetic method using the fractured crown, 2005, pp.21, 165~169
  9. Veis R, "Manual of appliance therapy for adults and children" (1994), Space Maintainers Laboratory
  10. Felippe LA, "Reestablishing biologic width with forced eruption", Quintessence Int, 34, pp.733~738 (2003)
  11. Uddin M, "A new appliance for forced eruption", N Y State Dent J, 72, pp.46~50
  12. Oshagh M, "Derafshi R. Forced eruption by fiber-reinforced composite", Dent Today, 28, pp.66~ (2009)

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