Vol. 5, Issue 4, Part F (2019)

Abstract: Management of traumatic injuries resulting from crown root fractures presents a clinical challenge. The line of management depends on the extent and type of fracture, biologic width invasion and presence or absence of coronal fragment. Tooth fragment reattachment represents a biological restorative treatment choice when the tooth fragment is available, with minimal biologic width violation. Maintenance of healthy periodontal attachment support is essential for long term prognosis and success of the restored tooth. This paper reinforces the advantages of fragment reattachment, with the procedures and adhesive protocols to achieve clinical success. This article presents two case reports where fragment reattachment has been done successfully for complicated crown root fractures after exposure of the fracture line using surgical crown lengthening and surgical flap elevation respectively in the two cases. Following the root canal treatment procedures, prefabricated posts have been cemented as intraradicular splint to reattach the fractured segments. Thus, Fragment reattachment provides a conservative treatment approach, combining esthetics, function and health of periodontal tissues postponing the need for the more aggressive prosthetic options. Such an approach is extremely beneficial for a young patient for some years before receiving the complex and expensive prosthetic solutions.