The Open Dentistry Journal

ISSN: 1874-2106 ― Volume 14, 2020

Management of Cervically Fractured Central Incisors: A Multidisciplinary Approach

Rakesh. R. Rajan1, *, Sapna Chandira Muddappa1, Priya Rajendran2, Ashok Sukumaran Nair1
1 Amrita School of Dentistry, Amrita University, Aims Campus, Kochi - Conservative Dentistry & Endodontics, Ernakulam, Kerala, India
2 Department of Conservative Dentistry & Endodontics, Malabar Dental College, Malapuram, Kerala, India



Fracture of tooth structure at or below the gingival margin compromises rehabilitation and hampers esthetics and function.


Management of such cases by a post-core and crown restoration, or periodontal surgery or orthodontic extrusion alone may not always suffice in attaining a good result.

Case Report:

A multi-disciplinary approach which includes all of the above mentioned procedures helps in long term success.


Careful case evaluation, treatment planning and meticulous attention to detail are the keys to the best treatment outcome.

Keywords: Tooth fracture, Gingival margin, Crown restoration, Orthodontic extrusion, Alveolar ridge, Maxillary anterior teeth.

Article Information

Identifiers and Pagination:

Year: 2018
Volume: 12
First Page: 238
Last Page: 245
Publisher Id: TODENTJ-12-238
DOI: 10.2174/1874210601812010238

Article History:

Received Date: 28/12/2017
Revision Received Date: 25/02/2018
Acceptance Date: 14/3/2018
Electronic publication date: 30/03/2018
Collection year: 2018

© 2018 Rajan et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Amrita School of Dentistry, Amrita University, Aims Campus, Kochi - Conservative Dentistry & Endodontics, Ernakulam, Kerala, India, Tel: 9895229766; Email:

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