Multidisciplinary approach in management of complicated crown root fracture : A case report

Complicated crown-root fractures are rare and often need complex treatment planning. This case report describes the management of an oblique crown-root fracture of maxillary right central incisor. Endodontic treatment of the tooth was performed and the tooth was provisionally restored. The tooth was then orthodontically extruded by 2 mm to raise the defect supraginigivally. Gingivectomy was performed to expose the fracture line .Access cavity was restored with composite resin and porcelain fused to metal crown was fitted over the core build up. This case report demonstrates that a multidisciplinary treatment approach to an oblique subgingival crown-root fracture is a reliable and predictable option to save a tooth.