Abstract

Coronal fracture of the anterior teeth is mainly common among children and adolescents. Though diverse treatment modalities are available, tooth fragment reattachment is generally considered a viable treatment option due to simplicity, natural aesthetics, and functional success. This paper presents a case of a 10.5-year-old female patient with a fractured maxillary central incisor with a dehydrated fragment. The dehydrated fragmented part was reattached with the help of retentive holes using an adhesive bonding agent and a resin composite cement. Follow-up at 15 months showed that the tooth was vital and functional with natural aesthetics.

Highlights

  • Dental trauma can be caused due to accidental falls or sports injuries such as football, baseball, basketball, and hockey [1]

  • Though tooth fragment bonding provides a number of distinct advantages, the main advantage is aesthetics, which brings satisfaction [7]

  • Some analysts believe that keeping the fragment in water for 24 hours prior to reattachment increases the bond strength [9]

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Summary

Introduction

Dental trauma can be caused due to accidental falls or sports injuries such as football, baseball, basketball, and hockey [1]. Of all traumas to the dental hard tissues, coronal fractures of permanent incisors represent 18-22% Out of these 18-22% fractures, 28-44% are simple (enamel + dentin) and 11-15% are complex (enamel +dentin +pulp). Tooth fragment bonding has become popular due to its various advantages such as anatomical features, color, and surface appearance It can furnish positive psychological response and long-lasting aesthetics [5]. She brought the fragment of the broken tooth (Figure 1B) stored in a plastic container in order to get the fragment glued back on the tooth and was complaining tooth sensitivity while exposing to air and drinking.

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