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VOLUME 6 , ISSUE 1 ( January-June, 2021 ) > List of Articles


Reattachment of Complicated Crown: Root Fracture: A Case Report

Amal Devadas, K Radhakrishnan Nair, Deepak Joby, Sreelekshmy Chandrababu

Keywords : Anterior teeth, Composite resin, Crown-root fracture, Fiber-reinforced post, Reattachment, Trauma

Citation Information : Devadas A, Nair KR, Joby D, Chandrababu S. Reattachment of Complicated Crown: Root Fracture: A Case Report. Cons Dent Endod J 2021; 6 (1):18-21.

DOI: 10.5005/jp-journals-10048-0070

License: CC BY-NC 4.0

Published Online: 30-09-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Aim and background: Complicated crown-root fractures constitute a major share of all dental injuries, most commonly affecting the maxillary anterior teeth. The main objective while treating complicated crown fracture involves pain management and immediate restoration of function and esthetics. When the fractured segments are closely approximating, root canal treatment followed by reattachment of the fractured segment with fiber post reinforcement is a suitable option. This technique provides excellent esthetics as it maintains the original contacts and contour, translucency, alignment, surface texture, and position of the teeth. Case description: A 27-year-old male reported to the clinic immediately following a road traffic accident. Clinical and radiographic examination revealed a complicated oblique fracture that was extending subgingivally in the palatal aspect in relation to 21 and 22. It was decided to perform a single visit root canal treatment followed by reattachment of the fractured segment using fiber-reinforced post. A midline diastema was noted following the attachment of the fractured segment which was corrected using direct composite resin restoration. Conclusion: The presented case demonstrates conservative management of complicated crown root fracture involving 21 and 22 by reattachment using fiber-reinforced post followed by midline diastema correction using composite resin.

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  1. Goenka P, Marwah N, Dutta S. Biological approach for management of anterior tooth trauma: triple case report. J Indian Soc Pedod Prev Dent 2010;28(3):223–229. DOI: 10.4103/0970-4388.73791.
  2. Andreasen JO, Andreasen F, Andersson L. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed., St Louis (MO): Mosby; 1994. pp. 314–334.
  3. Tay FR, Pashley DH. Monoblocks in root canals: a hypothetical or a tangible goal. J Endod 2007;33(4):391–398. DOI: 10.1016/j.joen.2006.10.009.
  4. Chosack A, Eidelman E. Rehabilitating of a fractured incisor using patients natural crown: a case report. J Dentis Child 1994;71:19–21.
  5. Iseri U, Ozkurt Z, Kazazoglu E. Clinical management of a fractured anterior tooth with reattachment technique: a case report with an 8-year follow up. Dent Traumatol 2011;27(5):399–403. DOI: 10.1111/j.1600-9657.2011.01015.x.
  6. Kumari NBPS, Sujana V, Sunil CHR, et al. Reattachment of complicated tooth fracture: an alternative approach. Contemp Clin Dentis 2012;3(2):242–244. DOI: 10.4103/0976-237X.96843.
  7. Shirani F, Sakhaei Manesh V, Malekipour MR. Preservation of coronal tooth fragments prior to reattachment. Aust Dent J 2013;58(3): 321–325. DOI: 10.1111/adj.12092.
  8. Reis A, Loguercio AD, Kraul A, et al. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent 2004;29(2):226–233.
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