Bio-Esthetic Restoration: A Novel Approach In Conservative Dentistry

Mittal N

doi:10.4172/2161-1122.1000245

Abstract

Fracture of anterior teeth due to trauma is the most frequent type of injury affecting permanent dentition. Despite the availability of a wide range of restorative materials, none could match the properties of natural tooth structure like translucency, wear resistance, and color stability. Hence fragment re-attachment is an excellent method of restoring fractured teeth. When the fractured fragment of the patient’s tooth is not available, segment of an extracted tooth from tooth bank can be used as an alternative. In this case study, tooth #11 revealing Ellis’ Class II fracture was restored by fragment re-attachment method using an extracted tooth. Extracted tooth of matching shade was selected from the tooth bank, cut in accordance with the fractured portion, and attached using composite resin. At 1 year follow up, the restoration revealed good aesthetic, functional and psychosocial results, justifying the use of this technique to achieve the morpho-functional recovery of extensively damaged teeth.

Highlights

Fracture of anterior teeth by trauma is the most frequent type of injury affecting the permanent dentition, especially in children between 9 and 11 years of age
When the fractured fragment of the patient’s own tooth is reattached, it is referred to as autogenous bonding [5] while homogenous bonding refers to the use of extracted teeth to prepare crowns or posts [6]
When the patient doesn’t present with the fractured fragment or its use is not recommended, donated extracted teeth can be used for re-attachment procedure [6]

Summary

Introduction

Fracture of anterior teeth by trauma is the most frequent type of injury affecting the permanent dentition, especially in children between 9 and 11 years of age. When the fractured fragment of the patient’s own tooth is reattached, it is referred to as autogenous bonding [5] while homogenous bonding refers to the use of extracted teeth to prepare crowns or posts [6]. This technique offers several advantages over other techniques used for restoring fractured teeth. It is a conservative and an immediate restorative procedure It provides total aesthetic recovery because of the natural tooth contour, color, translucency, and surface texture provided by the reattached fragment [7]. Patient was kept on follow up and a 1 year follow up revealed good aesthetics, function and retention of the restoration (Figure 4)

Discussion

Conclusion