Multidisciplinary approach to the rehabilitation of a crown‐root fracture with original fragment for immediate esthetics: a case report with 4‐year follow‐up

Abstract

Dental practitioners frequently encounter dentoalveolar traumas. According to the severity of the trauma, a large spectrum of complications such as isolated tooth fracture, dentoalveolar fracture or fracture at maxillofacial region may occur. If the isolated tooth fracture occurs particularly at anterior region, the rehabilitation should satisfy both esthetic and functional problems. An unrestorable tooth should be extracted and this leads to more complex treatments such as implant or conventional prosthetic rehabilitations, which will restore the function, but impair the esthetics. Recently, powerful new generation dual-cured resin composites have been produced for reattachment of original fractured fragments. In this case, we presented treatment of oblique crown-root fracture of a maxillary central tooth from enamel-cement junction by the reattachment technique. We used dual cured resin composite (Panavia F) and a self-tapping screw-post (Dentatus) for reattaching the crown fragment. Orthodontic treatment was applied for intruding and leveling the tooth. Four years after treatment, the tooth exhibited good esthetics, good periodontal health and normal function. However, minimal relapse occurred in spite of orthodontic treatment. In conclusion, the reattachment technique is an alternative method, which offers satisfactory esthetic and functional rehabilitation of the fractured teeth.

Multidisciplinary Treatment of Complicated Crown Fracture Teeth Using Reattachment Technique: A Case Report

“…Vaka raporları ve klinik deneyimler reataçman tekniğinin kısa ve orta vadede başarılı bir teknik olduğunu ortaya koymuştur (13,14,15). Reataçman tekniğinin, kırık dişlerin kompozit rezinler ile direkt olarak veya indirekt restorasyonlarla onarılmasına göre birçok avantajı vardır.…”

Reattachment of Crown Fragment for Immediate Esthetics

“…Mobile but still in place fractured fragment needs to be splinted with adjacent teeth if delay is expected in completing endodontic treatment due to possible damage to the periodontium. According to the amount of the restoration, screw posts, cast posts or dentin pins could be used for supporting the fragment [6]. The use of posts increases retention and distributes stress along the root.…”

Reattachment of Fractured Anterior Teeth—Determining Fracture Strength using Different Techniques: An in vitro Study

“…11 Clinical experience and studies indicate that the reattachment of fractured coronal fragments results in successful outcomes that are short and medium term. [12][13][14] A study was conducted by Yilmaz et al in 2008 to evaluate clinically and radiographically the restored teeth using reattachment technique of fractured fragment to the remaining tooth with flowable resin composite. The restored teeth were assessed in terms of parental-patient ratings of satisfaction.…”