MANAGEMENT OF A COMPLICATED CROWN FRACTURE OF THE PERMANENT CENTRAL INCISOR BY FRAGMENT REATTACHMENT. A CASE REPORT

Authors: Nilesh S. KADAM, Ida De Noronha DE ATAIDE, Marina FERNANDES, Rajan LAMBOR

Abstract:

Coronal fractures of the anterior teeth are a common form of dental trauma, affecting mainly children and adolescents. Average incidence of injuries to anterior teeth reported in literature ranges from 4 to 46%, with 11 to 30% in primary dentition and 6 to 29% in permanent dentition. Traumatic dental injuries are associated with biological, socio-economic conditions, psychological and behavioral factors. Complicated crown fracture involves enamel, dentin and pulp. Various treatment modalities are available, depending upon the clinical, physiological and radiographic status of the teeth.
The current case report describes the procedure of reattachment of tooth fragment of permanent maxillary central incisor in a 29 year-old patient with extensive fracture, involving subsequent pulp trauma.