Management of complicated crown fracture by reattachment using fiber post: Minimal intervention approach

Abstract

Anterior crown fractures are a common form of traumatic dental injuries that mainly affect the maxillary incisors, especially in children and adolescents. Complicated crown fractures although less common, pose a challenge to the clinician. The main objective while treating such cases is successful pain management and immediate restoration of function, esthetics and phonetics. Since the development of the adhesive dentistry, the patient's own fragment can be used to restore the fractured tooth. Reattachment of fractured tooth fragments offers a viable restorative alternative. The procedure provides good and long-lasting esthetics, because the original morphology, color, and surface texture are preserved. This article reports management of complicated crown fracture in a young adult and a middle-aged adult that were successfully treated by reattachment technique. The teeth were endodontically treated followed by esthetic reattachment of the fractured fragment using the glass fiber post. To improve the adhesion between fractured and remaining fragment, circumferential beveling and internal groove placement were done.

Tooth Fragment Reattachment with Glass Fiber Reinforced Post: A Case Report

“…All of these methods have their advantages and disadvantages. [1,[19][20][21] In simple reattachment, fragments are restored without an additional preparation. The fragments are reat- The over-contour technique consists in performing a 0.3 mm-deep preparation in the buccal fracture line using a round diamond bur.…”

Management of Complicated Crown Fracture by Reattachment With Super Bond: A Case Series

“…However, such treatment often presents a clinical challenge for the operator. In literature based on the location of fractured margin, various treatment modalities are available [6]. According to Olsburgh et al [8] when there is invasion of biological width, treatment options are: a.…”

“…Variety of the treatment options is available for the management of the complicated crown-root fracture. The success of the reattachment depends on the several factors such as size of the fragment, periodontal involvement, biological width violation, duration of the fracture and contamination of the site, and material used for the reattachment [6]. Clinicians have used various techniques and materials to reattach fractured fragment of tooth, and the most common technique is to use a flowable composite resin.…”

Abordagem quanto ao diagnóstico e ao tratamento da avulsão dentária: uma revisão de literatura

“…No caso de avulsão, o dente deve ser recolocado no alvéolo o mais rápido possível, sem manipular a raiz 42 . Quando colocado antes de 30 minutos, o procedimento tem boa porcentagem de sucesso; depois de 90 minutos, a porcentagem de sucesso atinge somente 7% dos casos 43 .…”