Fracture of tooth after trauma is distressing to a person because of the discomfort and pain due to pulpal injury. Crown root fractures of anterior teeth cause concomitant periodontal injury and there will be concern about appearance, and aesthetics. Management of pulpal and periodontal tissue relieves pain and restoration of tooth form regains patients confidence. Restoration of fractured tooth will be accepted readily if it is minimally invasive, less expensive, and aesthetically acceptable. Reattachment is an option for restoration of anterior teeth compared to other artificial replacements because of its appearance as natural. This method is favourable when the fractured fragment is intact and available. Utilization of pulp space for retention of fragment is achieved by the insertion of a dentine bonding post. This case report describes a case of tooth reattachment after trauma in which the pulp space is utilized to bond a fiber-reinforced post for retention after periodontal tissue management.

An immature tooth with pulpal necrosis and periapical pathology imposes a great difficulty to the endodontists. Endodontic treatment options for such teeth consist of conventional apexification procedure with and without apical barriers and revascularization. Calcium phosphate is a calcium silicate-based cement that exhibits physical and chemical properties similar to those described for certain Portland cement derivatives. This article demonstrates the use of calcium phosphates as an apical matrix barrier in root end apexification procedure. This case report presents apexification and follow-up of a case with the use of calcium phosphate as an apical barrier matrix.

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. Various treatment modalities have been practiced in the past, but reattachment of fractured fragment is considered to be the most conservative, natural, and esthetic approach. The restoration of natural teeth form, color, and alignment in these patients creates a positive social and emotional response in such patients. This paper reports on conservative management of the fracture of maxillary anterior teeth using two different approaches, namely, one with tooth fragment reattachment and other of recontouring with composite resin.