What is an esthetic treatment option for a fractured maxillary central incisor (#7)?

In the context of a fractured maxillary central incisor, orthodontic extrusion followed by placing an implant can be an effective esthetic treatment option. This approach involves using orthodontic forces to gradually move the fractured tooth into a more favorable position and restore its function and esthetics, while preparing the site for an eventual implant placement. This technique not only allows for the correction of the position of the remaining tooth structure but also helps in maintaining the bone quantity and quality, which is crucial for successful implant placement.

Additionally, orthodontic extrusion can assist with the preservation of the gingival architecture around the tooth, which is essential for achieving an esthetically pleasing outcome once the implant is placed. After the extrusion, the tooth can then be extracted if necessary, and the site can be primed for the implant, providing a restored natural appearance and functionality.

The other approaches, such as extraction followed by immediate implant placement, direct composite restoration, or fabricating a crown immediately, may not always provide the desired long-term results in terms of esthetics and functional longevity compared to the orthodontic extrusion method. Extraction with immediate implant placement might not allow for adequate bone preservation or could lead to complications depending on the fracture's severity. Direct composite restoration can be more suitable for minor fractures