Abstract

Tooth fractures are often reported as emergencies in dental practice. Coronal fractures of the anterior teeth are a prevalent cause of dental trauma in children and teenagers. It's a tragic situation that necessitates prompt care and quick functional and esthetic repair. The clinician's main difficulty when dealing with these types of dental injuries is to re-establish the natural esthetics of the traumatized anterior tooth. There are several therapeutic options for this condition, one of which is reattachment of the fractured component itself. Because of its simplicity, natural esthetics, and preservation of tooth structure, reattachment of a tooth fragment should be the first choice and a feasible alternative to conventional approaches. For a successful prognosis, the patient's cooperation and comprehension of the treatment's limitations is essential. This paper presents a report of two clinical cases on managing complicated crown fractures, where the restoration of the fractured anterior teeth using the residual tooth fragment was supported by fiber post system.
 Keywords: Complicated Crown Fracture, Fiber post, Fractured Tooth Fragment, Internal grooving.

Highlights

  • Traumatic fractures of the anterior teeth are most frequent type of dental trauma in the permanent dentition.[1]

  • This paper presents a report of two clinical cases on managing complicated crown fractures, where the restoration of the fractured anterior teeth using the residual tooth fragment was supported by fiber post system

  • This article reports on management of two coronal tooth fracture cases, where the anterior teeth were successfully restored by the tooth fragment reattachment using fiber post and internal groove technique

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Summary

Introduction

Traumatic fractures of the anterior teeth are most frequent type of dental trauma in the permanent dentition.[1]. In circumstances where there is no or limited biological width violation and the fragment is retrieved in a substantially undamaged state could reattachment of the fractured fragment be considered.[4] When compared to resin-based composite or a full-coverage crown, tooth fragment reattachment is a conservative, costeffective, cosmetic, functional, time-saving and has positive patient acceptance for restoring a fractured tooth.[5] Fractured fragment reattachment provides good and long-lasting esthetics as the tooth's original anatomical form, colour, and surface texture are preserved. This article reports on management of two coronal tooth fracture cases, where the anterior teeth were successfully restored by the tooth fragment reattachment using fiber post and internal groove technique

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