Reattachment of Fractured Tooth Fragment with Fiber Post: A Case Series with 1-Year Followup

Abstract

Coronal fractures of the anterior teeth are common sequelae of dental trauma. In case of complex fractures, where the fractured segment is available and there is close approximation of the segment to the remaining tooth, root canal treatment followed by reattachment of the fractured segment with fiber post reinforcement is a feasible option. The procedure is simple and economic and needs less chair-side time as compared to many conventional methods. In addition, the procedure provides good and long-lasting esthetics, because the original morphology, color, and surface texture are maintained. This paper reports three cases of complex coronal tooth fracture successfully managed using tooth fragment reattachment.

An Innovative Method for Fragment Reattachment after Complicated Crown Fracture

“…The case history reported here not only confirms the long-term effectiveness of the reattachment technique using fiber posts but also illustrates the effectiveness and innovativeness of attaching the fiber post without drilling a hole in the crown. Our data adds to the growing number of case reports in the literature demonstrating that reattachment of a fractured tooth fragment is effective for the treatment of a coronal fracture of anterior teeth when the fracture segment is available, [9][10][11] Sapna et al reported three cases of successful reattachment of fractured segment of maxillary anterior teeth with a 12-month follow-up period. 9 They also concluded that tooth-colored fiber post may be the best option with a number of important advantages such as esthetics, good bonding between post and cement, lower chair time, and minimal tissue removal.…”

“…Our data adds to the growing number of case reports in the literature demonstrating that reattachment of a fractured tooth fragment is effective for the treatment of a coronal fracture of anterior teeth when the fracture segment is available, [9][10][11] Sapna et al reported three cases of successful reattachment of fractured segment of maxillary anterior teeth with a 12-month follow-up period. 9 They also concluded that tooth-colored fiber post may be the best option with a number of important advantages such as esthetics, good bonding between post and cement, lower chair time, and minimal tissue removal. 9 It appears that the use of a fiber post with fractured teeth minimizes the stress on the reattached tooth fragment as it interlocks the two fragments.…”

“…9 They also concluded that tooth-colored fiber post may be the best option with a number of important advantages such as esthetics, good bonding between post and cement, lower chair time, and minimal tissue removal. 9 It appears that the use of a fiber post with fractured teeth minimizes the stress on the reattached tooth fragment as it interlocks the two fragments. Likewise, our innovative procedure of attaching the fiber post without drilling the crown helps to further reduce stress on the fragment.…”

Investigation of the Influencing Factors of Crown-Root Fractures in Root Filled Teeth Without Crown Prosthesis: A Cross-Sectional Study

“…3,7 Bu dişlerde kron-kök kırığı meydana gelmesi hâlinde, mukojinjival flep kaldırılarak gerçekleştirilen osteotomi, osteoplasti, ortodontik veya cerrahi ekstrüzyonu takiben kırılan parçanın yerine yapıştırılması, dişin kompozit rezin gibi materyallerle restorasyonu veya protetik olarak tedavi edilmesi mümkündür. 6,8,9 Kırık hattının lokalizasyonu ve kalan sağlam diş dokusu miktarı tedavi seçeneklerini belirlemektedir. 5,10 Endodontik tedavi diş kırıklarında önemli bir etkendir.…”

Multidisciplinary Treatment of Teeth with Crown Root Fracture: Case Report

“…Bir başka tedavi şekli ise; dişin kompozit rezin gibi restoratif materyal ile veya protetik olarak restore edilmesidir. 5,6 Bu çalışmada, travma sonucu kron kök kırığı oluşan üst, orta ve yan keser dişlerin multidisipliner tedavisini ve bir yıllık izlemini sunmak amaçlanmıştır. ESPE, Seefeld, Almanya) hafif basınçla kök kanallarına yerleştirildi ve yapıştırıcı siman (Elipar S10, 3M ESPE, Seefeld, Almanya) 40 sn boyunca polimerize edildi.…”