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.

Keywords: Biological restoration; complicated crown fracture; dental trauma; fiber post; tooth reattachment.

Figure 1

Case 1 (a) preoperative photograph, (b) cementation of fiber post, (c) preparation of fragment, (d) postoperative photograph after reattachment with 21 and composite restoration with 11, (e) postoperative intraoral periapical radiograph

Figure 2

Case 2 (a) preoperative photograph, (b) postoperative photograph