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

CASE REPORT

Reattachment of Complicated Crown: Root Fracture: A Case Report

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

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

Citation Information : Devadas A, Geetha P, 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; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

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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