Tooth fragment reattachment: A case series and literature review of a biological restoration for traumatic dental injuries

Abstract

Dental trauma is very common in children and relatively young people, with the line of treatment depending on the time elapsed, age of the child, and tooth maturity. A traumatised anterior tooth requires immediate clinical attention and if left untreated, it can cause damage to the entire dentition and even have a psychological impact on the patient. Management of complicated crown fractures is a multifactorial process that depends on the extent and pattern of fracture, restorability of a fractured tooth, secondary injuries, presence/absence of fractured tooth fragment and its condition for use, occlusion, esthetics, finances, and prognosis. If the fractured segment is available and there is close approximation of the segment to the remaining tooth, reattachment of the fractured segment is a feasible option. In the present case series, complicated crown fractures were managed appropriately followed by tooth fragment reattachment. On follow up examinations, the teeth remained normal in esthetics and function indicating clinical success of the treatment. Thus, appropriate management of anterior tooth fracture not only restores the function and esthetics but also provides a positive psychological impact for the patient.