1Assistant Professor, Department of Conservative Dentistry and Endodontics, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
2Professor & Head, Department of Conservative Dentistry and Endodontics, Dasmesh Institute of Research and Dental Sciences, Faridkot, Punjab, India
Dental trauma involving anterior teeth poses both functional and psychosocial challenges, particularly in older individuals. Among traumatic dental injuries, uncomplicated crown fractures of maxillary central incisors are the most prevalent. Tooth fragment reattachment is a conservative, cost-effective technique that preserves natural tooth structure while restoring function and aesthetics. This case report details the management of an oblique crown fracture in a 62-year-old male patient using fragment reattachment reinforced with a glass fiber post. The patient presented within an hour of trauma, having stored the fragment in water. A single-visit root canal therapy was performed, followed by adhesive reattachment using contemporary protocols. At 12- and 24-month follow-ups, the restoration remained stable, with no signs of discoloration, detachment, or pathology. This report highlights the clinical feasibility of fragment reattachment in older patients and underscores the importance of timely intervention, appropriate adhesive techniques, and long-term monitoring.
Dental trauma, Crown fracture, Fragment reattachment, Fiber post, Adhesive dentistry, Anterior esthetics
