Reattachment of Fracture of Maxillary Anterior Tooth-An Aesthetic Approach

M. Sita Rama Rao, Sharanesh Babu Daneti, Tanuja Temburu, Prabhakar D, Kiran Kuma Ch


Fracture of anterior teeth is a very common form of dental injuries among children and young adolescents. Aesthetic rehabilitation of crown fractures of the maxillary anterior teeth is one of the greatest challenges to the dentist. Various treatment modalities have been practiced in past but reattachment of fracture is considered to be one of the most conservative, natural, and aesthetic approach. The restoration of natural teeth form, colour, and alignment in these patients create a positive social and emotional response in such patients. This paper discusses a case of 16-year-old male patient with fractured left central incisor (Ellis class 3 fracture). Reattachment of fracture was done along with single sitting endodontic treatment with fibre post using flow able composite resin cement. Evaluation at 6 weeks yields good reattachment, intact post, good aesthetics, and good periodontal health.

KEYWORDS: Anterior teeth, Crown fractures, Rehabilitation, Colour, Composite resin Cement, Reattachment.

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Dietschi D, Jacoby T, Dietschi JM, Schatz JP. Treatment of traumatic injuries in the front teeth: restorative aspects in crown fractures. Pract

Periodontics Aesthet Dent 2000;12:751–58.

Patni P, Jain D, Goel G.A holistic approach to management of fractured teeth fragments: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2010;109:70–4.

Andreasen JO, Andreasen F, Andersson L. In: Textbook and color atlas of traumatic injuries to the teeth. 4th ed. Oxford: Blackwell; 2007. pp. 227–44.

Mojirade AD, Funmilayo A-S, Olaida GS. Reattachment of fractured anterior tooth: a 2 year review of a case. Int J Prosthodont Restorative Dent 2011;1(2);123–7.

Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent 2004;29:226–33.

Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol 2002;18:103–15.

Andreasen FM, Norén JG, Andreasen JO, Engelhardtsen S, Lindh-Strömberg U. Long term survival of fragment bonding in the treatment of fractured crowns. Quint Int 1995;26:669–81.

Andreasen JO. Tooth and bone loss related to trauma. In: Koch G, Bergendal T, Kvint S, editors. Consensus conferenceon oral implants in young patients. Stockholm: Forlagshuset Gothia AB; 1996. pp. 40–5.

Kararia N, Chaudhary A, Kararia V. Tooth fragment reattachment: anesthetic, biological restoration. World J Dent 2012;3(1):91–4.

Baratieri LN, Ritter AV, Junior SM, Filho JCM. Tooth fragment reattachment: an alternative for restoration of fracture danterior teeth. Pract Periodontics Aesthet Dent 1998;10:115–27.

Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol 2002;18:103–15.

Starkey PE. Reattachment of a fractured fragment to a tooth. J Indian Dent Assoc 1979;58:37–8.

Simonsen RJ. Restoration of a fractured central incisor using original teeth. J Am Dent Assoc 1982;105:646–8.

Tennery NT. The fractured tooth reunited using the acid etch bonding technique. Texas Dent J 1978;96:16–27.

Burke FJT. Reattachment of a fractured central incisor

tooth fragment. Br Dent J 1991;170:223–5.

Badami AA, Dunnes SM, Scheer B. As in vitro investigation into shear bond strengths of two dentin bonding agents used in there attachment of incisal edge fragments, Endod Dent Traumatol 1995;11:129–35.

Baratieri LN, Monteiro S, de Andrada MAC. Tooth fracture reattachment: case reports. Quint Int 1990;21(4):261–70.

Parik B, Munksgaard EC, Andreasen JO, Kreiborg S. Drying and rewetting anterior crown fragments prior to bonding. Endod Dent Traumatol 1999;15:113–6.

Ramugade MM, Chandwani ND, Dattatray K, Metkari SS. A conservative esthetic rehabilitation of complicated tooth fracture: 2 case reports. Int J Prosthodont Restorative Dent 2013;3(3);96–100.

Kulkarni VK, Bhusari CP, Sharma DS, Bhusari P, Bansal AV, Deshmukh J. Autogenous tooth fragment reattachment: A multidisciplinary management for complicated crown-root fracture with biological width violation. J Indian Soc Pedodont Prev Dent 2014;32(2):190–4.

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