Multidisciplinary esthetic restoration of crown fractures using the reattachment technique

Adhesive protocols allow clinicians to predictably restore fractured teeth. We applied different techniques of restoration in two cases of crown fractures involving superior central incisors. First case: a 10 year-old boy, with uncomplicated crown fractures in both superior central incisors; one of the fractured dental fragments being retrieved. We used the reattachment technique in 2.1 and silicone key reconstruction technique in 1.1. Second case: a male teenager with: cervical horizontal fracture, with loss of the coronal fragment in 1.1; an oblique crown-root fracture, with the coronal fragment still in place in 2.1. The treatment consisted in: 1.1: a post-and-core supported prosthetic restoration, 2.1: reattachment technique combined with periodontal surgery. The reattachment technique was successfully applied. Complex cases, with more than one tooth involved, require specific treatment of each different type of fracture, taking advantage of the remaining tooth structures. Keywords: esthetic restoration, crown fracture, reattachement