Treatment Regime for Crown Fractures: Autogenous Tooth Fragment Reattachment – Case Reports

Traumatic dental injuries are a common occurrence in routine dental practice. These injuries in addition to the amount of physical pain are notorious for the psychological impact on the patient. Anterior tooth fractures are frequently seen and a high prevalence has been noted in the age group of 7-12 years [1]. Fracture of coronal portion of tooth is often seen in children and adolescents. Crown fractures of permanent incisors account for 18-22% of all dental traumas among which 96% involve maxillary central incisors [2]. The management of coronal tooth fracturesis dependent on many factors such as biological width violation, endodontic involvement, and pattern of fracture, presence or absence of fractured fragment, restorability of tooth, occlusion and aesthetics [3]. Many techniques such as stainless steel crowns, orthodontic bands, ceramic crowns and composite resin restorations have been used in the management of such fractures [4]. Despite successful outcomes, drawbacks such as sacrifice of healthy tooth structure and compromised esthetics has compelled us to search and reviewother alternativetreatment modalities. Tooth fragment reattachment is a technique by which fractured fragment is reattached using adhesive cement. This method is preferred when the fractured fragment is available as it offers the advantage of use in an emergency esthetic situation. It is considered a favorable alternative to conventional techniques since it doesn't require additional tooth preparation, requires less time, provides excellent esthetics and has the psychological impact of having used the natural tooth fragment for restoration of esthetics. This article presents a case series of management of uncomplicated and complicated crown fractures using tooth fragment reattachment technique.