Esthetic and biologic mode of reattaching incisor fracture fragment utilizing glass fiber post

Abstract

Trauma to the anterior teeth affects the esthetic and psychological well-being of the patient. Advancement in the adhesive dentistry has facilitated the restoration of the coronal tooth fractures by minimally invasive procedures when the original tooth fragment is available. Reattachment of fractured fragment offers immediate treatment with improved preponderant aesthetics and restoration of function. Here, we describe a case of complicated fracture of the maxillary left immature permanent central incisor, which was treated endodontically followed by esthetic reattachment of the fractured fragment using the glass fiber post. Functional demands and esthetic considerations of the patient were fully met with this biologic mode of fragment reattachment.

Evaluation of Different Restoration Combinations Used in the Reattachment of Fractured Teeth: A Finite Element Analysis

“…These include using a circumferential bevel before reattaching [ 13 , 14 ], placing a chamfer at the fracture line after bonding [ 15 ], using a V-shaped enamel notch [ 16 ] or a groove with shoulder [ 17 ], and placing an internal groove or a superficial contour over the fracture line, while some authors have reported on the use of bonding with no additional preparation [ 18 , 19 ]. Manju et al [ 20 ] described a case of complicated fracture of the maxillary left immature permanent central incisor that was treated endodontically followed by esthetic reattachment of the fractured fragment using a glass fiber post. In addition, some authors have reported that porcelain laminate can be used to reinforce the fractured fragments that are bonded to each other.…”

Biological Restoration of a Fractured Anterior Tooth with the Use of Dentine Pin (Biopins)

“…Whenever possible, the most commonly recommended technique is autogenous or homogenous fragment bonding [ 9 , 10 ]. Fragment bonding is a procedure that can be labeled as “biological restoration,” consisting of the use of fragments of the fractured tooth (autogenous bonding) or fragments obtained from an extracted tooth (homogenous bonding) [ 11 , 12 ]. This technique allows reestablishment of the dental element with its original characteristics and the maintenance of occlusion in natural teeth and is inexpensive and has a positive psychological effect, since the social and emotional well-being of the patient and their family is restored [ 13 – 15 ].…”

Fratura Dental Com Tratamento Multidisciplinar

“…Os avanços na odontologia adesiva oferecem opções variadas para recolocação de fragmentos fraturados com base na amplitude, na direção e na gravidade da fratura (MANJU et al, 2015).…”