Dental trauma accounts for about 5% of all injuries in children and adolescents. Anterior teeth are most frequently affected by trauma, especially the maxillary incisors. Various treatment options are available like light cure composite resin restoration, fragment reattachment, and ceramic crowns, laminate veneers. Among those, fragment reattachment is a conservative method. The procedure is simple and economic and needs less chair-side time and also provide good aesthetics, because of the maintenance of original morphology, color, and surface texture. It also allows to restore the tooth with minimal loss of the remaining tooth structure, which in turn maintains the integrity of the teeth. The success of fragment reattachment also depends on patient and parent cooperation, adequate recall and follow up of the patient to monitor the pulp vitality. This clinical case reports the management of two coronal tooth fracture cases that were successfully treated using tooth fragment reattachment using flowable composite.
Cite this article:
Divya Subramanyam. Naturalistic Approach for Management of Fractured Anterior Teeth – A Case Report. Research Journal of Pharmacy and Technology. 2022; 15(6):2439-1. doi: 10.52711/0974-360X.2022.00406
Divya Subramanyam. Naturalistic Approach for Management of Fractured Anterior Teeth – A Case Report. Research Journal of Pharmacy and Technology. 2022; 15(6):2439-1. doi: 10.52711/0974-360X.2022.00406 Available on: https://rjptonline.org/AbstractView.aspx?PID=2022-15-6-10
1. Goyal N, Singh S, Mathur A, et al. Traumatic Dental Injuries Prevalence and their Impact on Self-esteem among Adolescents in India: A Comparative Study. J Clin Diagn Res. 2017; 11(8): ZC106–ZC110.
2. Pathan ML, Gaddalay S. Reattachment of anterior teeth fragments: A case report. International Journal of Applied Dental Sciences. 2017; 3(2): 101-103.
3. Andreasen JO, Ravn J J. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972; 1(5):235-239
4. Alvares I, Sensi LG, Araujo EM Jr, and Araujo E (2007) Silicone index: An alternative approach for tooth fragment reattachment. Journal of Esthetic and Restorative Dentistry; 19(5): 240-246.
5. Macedo GV, Diaz PI, DE O. Fernandes CA, et al. Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent. 2008; 2013:5–20.
6. Divakar HD, Nayak M, Shetty R. Changing concepts in fracture reattachment of teeth—a case series. Endodontology. 2007; 2013:27–35.
7. Maitin N, Maitin SN, Rastogi K, Bhushan R. Fracture tooth fragment reattachment. BMJ Case Rep. 2013; 2013: bcr2013009183
8. T. Pamir, E. Eden, and S. Sebahtin Ahmed. Shear bond strength of restorations applied to un-complicated crown fractures: An in vitro study. Dental Traumatology. 2012. 28(2):153–157.
9. Mendes L, Laxe L, Passos L. Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach. Case Rep Dent. 2017; 2017:2106245.
10. Macedo GV, Diaz PI, De O Fernandes CA, Ritter AV. Reattachment of Anterior Teeth Fragments: A Conservative Approach. J Esthet Restor Dent. 2008; 20(1):5-18.
11. Choudhary A, Garg R, Bhalla A, Khatri RK. Tooth fragment reattachment: An esthetic, biological restoration. J Nat Sci Biol Med. 2015; 6(1):205–207.