Clinical management of a traumatized maxillary central incisor restored with the original fragment using fiber-reinforced post system

Abstract

This case report describes the management of a supragingivally complicated crown fracture of a maxillary central incisor. A 19-year-old male patient was referred to the Department of Endodontics for the management of his traumatized maxillary incisors. He had no medical disorders and there was no evidence of a periapical pathology in the initial radiograph. The maxillary left central and right lateral incisors had an enamel fracture but were asymptomatic to palpation and percussion tests so it was decided to be treated with a direct composite restoration. Whereas, the right central one was symptomatic and had a supragingivally complicated crown fracture. Therefore, it was medicated with calcium hydroxide dressing for one week. After the root canal treatment was completed, the tooth was restored using a light-transmitting fiber-reinforced post system with the original fragment. There was an excellent satisfaction with using original fractured fragment even after 12 months.