A single visit, multidisciplinary approach to the management of traumatic tooth crown fracture

Abstract

An immediate restorative technique resolving the acute problem of traumatic tooth fracture with pulpal and periodontal involvement, in which the fragment(s) are re-alignable. Repositioning facilitated by a custom stent, using dentine/enamel bonding. A challenging, conservative and economically viable procedure within the compass of a single visit.

The Tooth Bandaid - Restoring Esthetics

“…Similar cases were also reported by Starkey and Simonsen [4,5,6]. The success of reattachment depends on certain factors like the site of fracture, size of fractured remnants, periodontal status, pulpal involvement, maturity of the root formation, biological width invasion, occlusion, time, material used for reattachment, use of posts, and prognosis [7].…”

Reattachment of Crown Fragment for Immediate Esthetics

“…The use of posts increases retention and distributes stress along the root. Matrix for repositioning segments can be of great advantage where fragment alignment is problematic [7]. Tooth preparation technique would be relative to the site and amount of tooth fragment for reattachment [8].…”

“…The results indicated that reattachment of fractured incisal fragments by using new generation bonding agents was effective against shear stresses and comparable with the intact teeth. The advantages of using the original tooth fragment over other materials include better color match, morphology, translucency, physiochemical characteristics, patient acceptance and economical [7]. Other treatment options available have associated limitations like multiple visits, stabilization and are less conservative in nature.…”

Anterior makeover on fractured teeth by simple composite resin restoration

“…6 Dental makeover may involve restoring the esthetic and functional characteristics of anterior teeth predictably and reliably. 7 Makeover doesn't always come with complex and invasive treatments, but it can be done simply and predictably.…”