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Case Reports
. 2018 Jun;9(Suppl 1):S160-S163.
doi: 10.4103/ccd.ccd_18_18.

Natural Crown Bonding of Anterior Fractured Teeth at Different Levels of Complexity: A 14-Month Follow-up

Josué Martos  1 , Stefani Zanotto  1 , Alexandra Rubin Cocco  2 , Rafael Guerra Lund  2 , Rudimar Antônio Baldissera  2
Affiliations
Case Reports

Natural Crown Bonding of Anterior Fractured Teeth at Different Levels of Complexity: A 14-Month Follow-up

Josué Martos et al. Contemp Clin Dent. 2018 Jun.

Abstract

Dental fractures comprise the most frequent form of traumatic dental injury and often require an immediate procedure for their treatment. The repositioning of fractured crown fragments using the bonding fragment technique offers several advantages, including the reestablishment of function, esthetics, shape, shine, and surface texture, in addition to the maintenance of the original contour and alignment of the teeth. The aim of this article is to describe a therapeutic approach used with a patient who suffered varying degrees of crown fractures in three teeth that were treated with adhesive fragment reattachment. The natural crown bonding technique, using tooth fragments and a direct composite resin, successfully restored all of the fractured anterior teeth. The clinical examinations showed good esthetics and periodontal health after a 14-month follow-up, proving that the technique is a good option for tooth fractures.

Keywords: Crown fracture; dental trauma; treatment.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
The clinical aspect of the patient presenting coronary fracture (a). Right central incisor with active fistula in the vestibular region and evidence of luxation in the same tooth (b and c). X-ray showing the need for endodontic therapy in all incisors affected by trauma (d). X-ray showing the final obturation of the root canals with mineral trioxide aggregate (e)
Figure 2
Figure 2
The clinical sequence of fragments bonding, starting first with the right lateral incisor (a), followed by the right central incisor (b) and then to the left central incisor where there would be a need to complement with composite resin (c and d)
Figure 3
Figure 3
Final clinical aspect of bonding adhesive procedure
See this image and copyright information in PMC

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