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.
Introduction:Fracture of tooth structure at or below the gingival margin compromises rehabilitation and hampers esthetics and function.Management:Management of such cases by a post-core and crown restoration, or periodontal surgery or orthodontic extrusion alone may not always suffice in attaining a good result.Case Report:A multi-disciplinary approach which includes all of the above mentioned procedures helps in long term success.Conclusion:Careful case evaluation, treatment planning and meticulous attention to detail are the keys to the best treatment outcome.
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