Abstract
Coronal fractures of permanent dentition are the most frequent type of dental injury. Fractured anterior teeth are usually treated with conventional post and core and crown techniques, after being treated endodontically. If the original tooth fragment is retained following fracture, the natural tooth structures can be reattached using adhesive protocols. Fiber-reinforced post makes the reattachment of the crown esthetically possible with minimal preparation and reduces the possibility of tooth fracture during function. This paper presents the therapeutic approach of reattachment of crown fragment to the tooth at the cervical and middle third levels.
Highlights
Fracture of anterior teeth by trauma is the most frequent type of injury in the permanent dentition, especially among children and adolescent affecting up to 25% of this patient population [1]
If the fracture exposes the dental pulp, the injury is defined as a complicated crown fracture or Class 3 fracture (Ellis and Davey classification) [2]
The incidence of complicated crown fractures ranges from 2% to 13% of all dental injuries and the most commonly involved teeth are the maxillary central incisors [3]
Summary
Fracture of anterior teeth by trauma is the most frequent type of injury in the permanent dentition, especially among children and adolescent affecting up to 25% of this patient population [1]. If the fracture exposes the dental pulp, the injury is defined as a complicated crown fracture or Class 3 fracture (Ellis and Davey classification) [2]. The incidence of complicated crown fractures ranges from 2% to 13% of all dental injuries and the most commonly involved teeth are the maxillary central incisors [3]. Trauma in children and adolescents require greater attention due to the physical and emotional characteristics of both the patient and family alike [4]. Dentists are confronted with managing dental trauma and restoring fractured teeth on a regular basis. Several factors influences the management of coronal tooth fractures including extent of fracture, pattern of fracture and the restorability of the tooth, presence or absence of the fractured tooth fragment, occlusion, and esthetics [5]
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