Esthetic Management of Maxillary Anteriors with Complicated and Uncomplicated Fractures Using Different Fragment Reattachment Approaches

Authors

Lavanya A, Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, IndiaFollow
Rajendra Kumar Tewari, Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, India
Sharique Alam, Department of Conservative Dentistry and Endodontics, Dr. Ziauddin Ahmad Dental College and Hospital, Aligarh Muslim University, Aligarh, India

Abstract

Appropriate management of anterior tooth fracture restores the function and aesthetics and provides a positive psychological impact for the patient. One of the most conservative approaches for such a restoration is reattachment; if a fracture fragment remains attached to the tooth and is available, as in young patients, immediate reporting helps preserve the vitality and long-term defense mechanism. Objective: This case report provides two cases with varied approaches for the management of complicated and uncomplicated crown fractures using reattachment procedures. Case report: During the clinical examination, the first case described the management of an uncomplicated fracture using the putty index technique. The second case report describes the management of a complicated fracture of the upper central incisor, which invades the biological width using flap elevation and fiber post-cementation. Conclusion: Fragment reattachment is a reliable, conservative, and immediate alternative technique having better retentive and aesthetic values. Tooth fragment reattachment provides dentists with a conservative approach for an aesthetically satisfactory tooth reconstruction.

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Recommended Citation

A, L., Tewari, R. K., & Alam, S. Esthetic Management of Maxillary Anteriors with Complicated and Uncomplicated Fractures Using Different Fragment Reattachment Approaches. J Dent Indones. 2024;31(2): 163-167