Reattachment of an Incompletely Fractured Anterior Tooth by a Conservative Approach

Abstract

The major objectives of restoration dentistry are to restore teeth in a way that allies conservation of healthy dental tissue, esthetics, function, and durability. The ideal would be to attain restorations that are as strong as the natural teeth, which seems unnoticeable even to dentists and more demanding patients.3 Thus, in many clinical situations, the best option for fractured anterior teeth is reattachment of the tooth fragment because of the following reasons: • It reinstates the natural shape, contour, surface texture, and occlusal alignment. • Original color and brightness of the tooth are maintained. • Incisal edge of the tooth fragment wears at a similar rate to the adjacent teeth, whereas a composite restoration will likely wear more rapidly. • Less chair-side time is required so the reattachment is much more economical. Attachment of a tooth fragment can be achieved with good esthetic and functional results, even in more complex situations where pulp and/or the biologic width are involved.4-10 With the evolution of adhesive systems, offering excellent bonding to dentin,11,12 reattachment of dental fragment has been a noninvasive treatment offering good results,4,5,7,13-17 even when performed under challenging conditions.9 Bevels, chamfers, grooves, and undercuts apparently make no difference in the prognosis.9,18