Dental Trauma in childhood. Reattaching a Tooth Fragment of Anterior Fractured Teeth - Case Report

Abstract

Introduction: Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available is reattachment of the dental fragment. Materials and Methods: We report a case of a 10-year-old boy who was admitted at `Dental Clinic G. Trifonova` on October 09, 2013, 2 hours after having a trauma in the oral area during sports activities . We observed uncomplicated crown fracture to his maxillary left central incisor, without pulp exposure and without tooth mobility. X-ray showed no root fracture and finished development of the root. Electric pulp test (EPT) showed slightly increased values. The tooth was slightly sensitive to percussion. The fractured tooth fragment was recovered by the patient and maintained in milk. It was only one piece that perfectly matched the tooth. Reattaching fractured fragment technique was performed. Results: Тhe procedure was carried out successfully. After a 3-year follow-up the tooth showed no change of the color and the integrity of the fragment was not compromised. The tooth responded to vitality testing normally. The control x-ray showed no periapical changes. The patient is satisfied with the esthetics and can bite with increased attention. Conclusion: Reattachment of fractured tooth fragments can provide good and long-lasting esthetics (the tooth`s original anatomic form, color, and surface texture). It also restores function, provides a positive psychological response, and is a relatively simple procedure. Patient cooperation and understanding of the limitations of the treatment is most important for a good prognosis.