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Different treatment approaches are indicated for crown-root fractured teeth. Surgical extrusion is a onestep procedure that implies immediate repositioning of the tooth into its normal position. The aim of this case report was to report the multidisciplinary treatment of a crownroot fractured maxillary premolar. Methods: In this case, a crown-root fractured maxillary premolar was treated by means of the surgical extrusion technique. After solving the issue of periapical radiolucency, the tooth was restored with porcelain-fused-to-metal crown. Results: At the 3.5-year follow-up, the tooth was asymptomatic and there were no radiographic and clinical signs of progressive root resorption, marginal bone loss or periapical disease. Conclusion: The favorable results of this case demonstrate that surgical extrusion may be an alternative treatment to existing protocols.

Surgical extrusion of a crown-root fractured tooth: 3.5-year follow-up