J Dent Rehabil Appl Sci.  2019 Jun;35(2):105-112. 10.14368/jdras.2019.35.2.105.

Conservative and esthetic approach in crown fracture of maxillay anterior tooth: tooth fragment reattachment

Affiliations
  • 1Dental Clinic Center, Pusan National University Hospital, Busan, Republic of Korea.
  • 2Department of Conservative Dentistry, School of Dentistry, Pusan University, Yangsan, Republic of Korea. jeongkil@pusan.ac.kr

Abstract

Crown fractures are the most frequent traumatic injuries to permanent teeth and mainly involve the maxillary incisors due to their exposed position in the dental arch. One option for managing crown fractures, when the tooth fragment is present and in good condition, is reattachment of the fragment to its original position. This paper reports on three crown fracture cases in which successful esthetic and functional results were achieved by reattachment of the tooth fragment.

Keyword

crown fracture; tooth fragment reattachment; esthetic approach; conservative approach

MeSH Terms

Crowns*
Dental Arch
Incisor
Tooth*

Figure

  • Fig. 1 Tooth fragment reattachment of Case A: (A) Preoperative photographic image of the fractured tooth and tooth fragment, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

  • Fig. 2 Postoperative images of Case A: (A) 1 week follow-up. Resin restoration of the fractured incisal edge, (B) Photographic image at 30 months follow-up, (C) Radiographic image at 30 months follow-up.

  • Fig. 3 Tooth fragment reattachment of Case B: (A) Preoperative photographic image of the fractured tooth and tooth fragments, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

  • Fig. 4 Postoperative images of Case B: (A) 12 months follow-up. Discoloration on margin of fracture line, (B) Photographic image at 34 months follow-up, (C) Radiographic image at 34 months follow-up.

  • Fig. 5 Tooth fragment reattachment of Case C: (A) Preoperative photographic image of the fractured tooth and tooth fragment, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

  • Fig. 6 Postoperative images of Case C: (A) 1 month follow-up, (B) Photographic image at 24 months follow-up, (C) Radiographic image at 24 months follow-up.


Reference

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