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VOLUME 16 , ISSUE 9 ( September, 2015 ) > List of Articles


Orthodontic Extrusion as Treatment Option for Crown- Root Fracture: Literature Review with Systematic Criteria

Roberta Okamoto, Lorraine Perciliano de Faria, Melyna Marques de Almeida, Marina Fuzette Amaral, Marcos Rogério Mendonça

Citation Information : Okamoto R, de Faria LP, de Almeida MM, Amaral MF, Mendonça MR. Orthodontic Extrusion as Treatment Option for Crown- Root Fracture: Literature Review with Systematic Criteria. J Contemp Dent Pract 2015; 16 (9):758-762.

DOI: 10.5005/jp-journals-10024-1753

Published Online: 01-03-2016

Copyright Statement:  Copyright © 2015; The Author(s).



To review the literature searching for a consensus for the choice of orthodontic extrusion as treatment for crownroot fracture.

Materials and methods

An electronic search was performed in the databases PubMed, Cochrane Central Register of Controlled Trials and Scopus and a manual search of the Journal Dental Traumatology.


Forty articles were found in PubMed and 38 in Scopus and after removal of duplicate sample 51 contained articles. Of these, 48 were excluded for not having orthodontic treatment, no follow-up or follow-up less than 6 months, or not report the presence of crown-root fracture. In manual search in Dental Traumatology 20 articles were found, but none of them met the prerequisites established. So, three articles formed the basis of the study.


The choice of how to treat orthodontic extrusion of crown-root fracture was effective and stable, without root and periodontal changes. Factors, such as root formation and presence of pulp vitality were decisive for determining the stages of treatment, however, there is no consensus based on scientific evidence about these protocols.

How to cite this article

de Faria LP, de Almeida MM, Amaral MF, Pellizzer EP, Okamoto R, Mendonça MR. Orthodontic Extrusion as Treatment Option for Crown-Root Fracture: Literature Review with Systematic Criteria. J Contemp Dent Pract 2015;16(9):758-762.

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  1. Traumatic dental injuries and associated factors among Brazilian preschool children aged 1-5 years. Acta Odontol Latinoam 2010;23:47-52.
  2. Public health aspects of oral diseases and disorders: dental trauma. In: Pine, C. R. Harris, editors. Community Oral Health. London: Quintessence Publishing; 2007. p. 203-211.
  3. Surgical extrusion of a crown-root fractured immature permanent incisor: 36 months follow-up. Dent Traumatol 2007;23:380-385.
  4. Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell; 2007.
  5. Surgical extrusion as a treatment option for crown-root fracture in permanent anterior teeth: a systematic review. Dent Traumatol 2013;29:423-431.
  6. A new classification for crown fractures of teeth. J Clin Pediatr Dent 2002;26:225-231.
  7. Dental Trauma Guide: a source of evidence-based treatment guidelines for dental trauma. Dent Traumatol 2012;28:345-350.
  8. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol 2012;28:2-12.
  9. Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation. Dent Traumatol 2000;24:100-103.
  10. Crown-root fractures. In:Andreasen JO, Andreasen FM, editors. Text book and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen: Munksgaard; 1993. p. 257-277
  11. A conservative multidisciplinary approach for improved aesthetic results with traumatised anterior teeth. Br Dent J 2006;201:509-512.
  12. Holistic approach in the management of subgingivally fractured premolar tooth: case report. Dent Med Probl 2008;45:211-214.
  13. Treatment for a complicated crown-root fracture with intentional replantation: a case report with a 3.5 year follow-up. Dent Traumatol 2013;29:474-478.
  14. Management of complicated crown-root fractures using intentional replantation: two case reports. Dent Traumatol 2013;29:334-337.
  15. Reattachment and orthodontic extrusion in the management of an incisor crown-root fracture: a case report. J Clin Pediatr Dent 2006;30:211-214.
  16. Multidisciplinary treatment approach for crown fracture and crownroot fracture: a case report. Dent Traumatol 2007;23:51-55.
  17. Multidisciplinary treatment of a fractured root: a case report. Aust Orthod J 2010;26:90-94.
  18. Clinical management of a complicated crown-root fracture: a case report. Braz Dent J 2011;22:258-262.
  19. The multidisciplinary conservative management of a vital crown root fracture. Dent Update 2013;40:584-586.
  20. Management of a complicated crown-root fracture using adhesive fragment reattachment and orthodontic extrusion. Dent Traumatol 2009;25:541-544.
  21. Apexification: a review. Dent Traumatol 2005;21:1-8.
  22. Orthodontic extrusion: periodontal considerations and applications. J Can Dent Assoc 2004;70:775-780.
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