Journal of Mahatma Gandhi University of Medical Sciences and Technology

Register      Login

VOLUME 7 , ISSUE 3 ( September-December, 2022 ) > List of Articles


Reattachment of Maxillary Central Incisor Using Laser Crown Lengthening and Prefabricated Fiber Post: A Case Report on Preserving the Natural

Avneet Kaur, Harshit Srivastava, Deepak Raisingani, Ashwini B Prasad, Prachi Mital, Deeksha Khurana

Keywords : Complicated crown fracture, Dental trauma, Fiber post, Tooth reattachment

Citation Information : Kaur A, Srivastava H, Raisingani D, Prasad AB, Mital P, Khurana D. Reattachment of Maxillary Central Incisor Using Laser Crown Lengthening and Prefabricated Fiber Post: A Case Report on Preserving the Natural. J Mahatma Gandhi Univ Med Sci Tech 2022; 7 (3):87-90.

DOI: 10.5005/jp-journals-10057-0214

License: CC BY-NC 4.0

Published Online: 16-09-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Aim: To reattach the Fractured Maxillary Central Incisor using a laser crown lengthening procedure and a fiber post. Background: Anterior crown fractures are a frequent type of traumatic dental injuries that mostly affect the maxillary incisors, and their aftereffects can make it difficult to create and carry out an effective treatment strategy. Reattaching the fractured component itself is one of the therapeutic techniques. Fragment reattachment is a minimally invasive and reasonably priced treatment technique that can quickly restore form and function in crown-root instances. Due to its simplicity, natural esthetics, and long-lasting beauty due to the preservation of the original morphology, color, and surface texture, it ought to be the first option and a viable alternative to conventional procedures. Case description: A 25-year-old male patient came to the Department of Conservative Dentistry and Endodontics with fractured segment. Patient was given local anesthesia, the fractured segment was removed and placed in normal saline. Straight line access was prepared and sectional obturation was done. Then, laser crown lengthening was done to expose the fractured margin, post space was prepared, and bevelling was done on remaining tooth structure. Finally, prefabricated fiber post and the tooth fragment were luted with dualcure resin cement. Conclusion: An easy and effective method for treating fractured anterior teeth is tooth fragment reattachment following crown lengthening using the original tooth fragment and a fiber-reinforced post. It seems to provide the best possible functional and esthetic results. Clinical significance: If the fractured segment is available, then reattachment seems to be a conservative and viable option.

  1. Sinha N, Lakinepally A, Diwan M, et al. Management of cervical root fracture by reattachment using fiber post. BMJ Case Rep 2018;2018:bcr2018225546. DOI: 10.1136/bcr-2018-225546
  2. Akyuz SN, Erdemir A. Restoration of tooth fractures using fiber post and fragment reattachment: three case reports. Eur J Gen Dent 2012;1(2):94–98. DOI: 10.4103/2278-9626.103393
  3. Grossmann Y, Araúz-Dutari J, Chogle SM, et al. A conservative approach for the management of a crown-root fracture. Quintessence Int 2006;37(10):753–759. PMID: 17078272.
  4. Murchison DF, Burke FJ, Worthington RB. Incisal edge reattachment: indications for use and clinical technique. Br Dent J 1999;186(12):614–619. DOI: 10.1038/sj.bdj.4800178
  5. Arapostathis K, Arhakis A, Kalfas S. A modified technique on the reattachment of permanent tooth fragments following dental trauma. Case report. J Clin Pediatr Dent 2005;30(1):29–34. DOI: 10.17796/jcpd.30.1.p2611020q2762681
  6. Singh P, Srivastava N, et al. Reattachment of fractured tooth fragment: a case report. IJSR 2020; 9(5):1–3. DOI: 10.36106/ijsr
  7. Garcia FCP, Poubel DLN, Almeida JCF, et al. Tooth fragment reattachment techniques-a systematic review. Dent Traumatol 2018;34(3):135–143. DOI: 10.1111/edt.12392
  8. Lam R. Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J 2016;61(Suppl 1):4–20. DOI: 10.1111/adj.12395
  9. Iseri U, Ozkurt Z, Kazazoglu E. Clinical management of a fractured anterior tooth with reattachment technique: a case report with an 8-year follow up. Dent Traumatol 2011;27(5):399–403. DOI: 10.1111/j.1600-9657.2011.01015.x
  10. Maitin N, Maitin SN, Rastogi K, et al. Fracture tooth fragment reattachment. BMJ Case Rep 2013;2013:bcr2013009183. DOI: 10.1136/bcr-2013-009183
  11. Lo Giudice G, Lipari F, Lizio A, et al. Tooth fragment reattachment technique on a pluri traumatized tooth. J Conserv Dent 2012;15(1):80–83. DOI: 10.4103/0972-0707.92613
  12. Cavalleri G, Zerman N. Traumatic crown fractures in permanent incisors with immature roots: a follow-up study. Endod Dent Traumatol 1995;11(6):294–296. DOI: 10.1111/j.1600-9657.1995.tb00507.x
  13. Sucharita V, Archie K. Tooth fragment reattachment: a case series. J Interdiscip Dent 2021; 11(3):129–134. DOI: 10.4103/jid.jid_60_20
  14. Islam MA, Wakia T, Afroz S, et al. Management of a subgingivally fractured central incisor by reattachment using a fiber post. Updat Dent Coll J 2013;3(1):37–40. DOI: 10.3329/updcj.v3i1.17983
  15. Reis A, Francci C, Loguercio AD, et al. Reattachment of anterior fractured teeth: fracture strength using different techniques. Oper Dent 2001;26(3):287–294. PMID: 11357572.
  16. Raut AW, Mantri V, Shambharkar VI, et al. Management of complicated crown fracture by reattachment using fiber post: minimal intervention approach. J Nat Sci Biol Med 2018;9(1):93–96. DOI: 10.4103/jnsbm.JNSBM_98_17
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.