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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 9
First page : ( 1601) Last page : ( 1603)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.02680.9

Surgical Clinical Crown Lengthening: A Prerequisite for Crown Placement in Fractured Teeth

Das Abhaya Chandra1,*, Panda Saurav1, Kumar Manoj1, Mohanty Saumya Kanta2

1Reader, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, (Deemed to be University), Bhubaneswar, Odisha, India

2Reader, Department of Conservative and Endodontic, Institute of Dental Sciences, Siksha ‘O’ Anusandhan, (Deemed to be University), Bhubaneswar, Odisha, India

*Corresponding Author Abhaya Chandra Das, Reader, Department of Periodontics and Oral Implantology, Institute of Dental Sciences, Siksha ‘O ’Anusandhan, (Deemed to be University), Bhubaneswar, Odisha, India e-mail: drabhaya2011@gmail.com

Online published on 13 November, 2019.

Abstract

Treatment options for a fractured tooth, particularly at the level of gum, are extremely limited. While restoring such fractured tooth, the biologic width must be considered. This can be maintained sometimes by surgical crown lengthening procedure. Here, one patient with fractured 21 and 22 reported. In the case, gingivectomy was carried out to remove gingiva around the neck of the tooth under local anesthesia followed by removal of the circumferential bone in the gingival sulcus. A significantly increased length of clinical crown in all aspect was achieved. Then customized posts with cores were prepared and then teeth were restored and twounit crowns were placed after 6 weeks post-surgically. The marginal periodontal tissue shows well, healthy conditions during 6 months period of healing. Thus, the fractured teeth were restored by creating biologic width by crown lengthening procedure.

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Keywords

Fractured tooth, biological width, endodontic treatment, crown lengthening, gingivectomy, post and core.

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