Tooth Fragment Reattachment

An attractive dentition and smile is very essential for both children and adults. However Children and adolescents are frequently a�ected by traumatic dental injuries that mainly include coronal fractures of anterior teeth. Maxillary central incisors are the most commonly involved teeth. Usually only a single tooth is involved in dental injuries; however, various traumas such as sports injuries and automobile accidents involve multiple tooth injuries. Trauma to the anterior teeth resulting in fracture fragment requires immediate attention and prompt treatment for achieving an attractive smile. The treatment involves simple to complex restorative intervention depending on various factors including extent of fracture line, alveolar bone fracture, biological width violation, endodontic involvement, restorability of fractured tooth and pattern of fracture, associated root fracture, secondary trauma injuries, soft tissue status, availability of fractured tooth fragment and its condition and the prognosis of the tooth after treatment. One of the treatment plan for such cases is tooth fragment reattachment. Fractured tooth fragments reattachment can provide good and long-lasting esthetics. It restores function and provides a positive psychological response as tooth's original anatomic form, colour, and surface texture are maintained and is a relatively simple procedure. Usually only a single tooth is involved in dental injuries; however, various traumas such as sports injuries and automobile accidents involve multiple tooth injuries. Usually only a single tooth is involved in dental injuries; however, various traumas such as sports injuries and automobile accidents involve multiple tooth injuries. Usually, only a single tooth is involved in dental injuries; however, various traumas such as sports injuries and automobile accidents involve multiple tooth injuries. Usually only a single tooth is involved in dental injuries; however, various traumas such as sports injuries and automobile accidents involve multiple tooth injuries. Tooth fragment reattachment not only offers cost effective but also provides a conservative, esthetic restorative option. This technique has been shown to be a good option to restore the fractured tooth compared with resin based composite or full-coverage crown. Additionally, this technique is comparatively less time-consuming and gives more predictable results. Understanding of the limitations of the treatment and patient cooperation is of utmost importance for good prognosis. When there is a substantial associated periodontal injury and/or invasion of the biological width, the restorative management of the coronal fracture should follow the proper management of those associated issues also.

Author(s): Gourav Thapak

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