Biological Restoration of maxillary central incisor with complicated crown and root fracture: a case report

Anterior teeth are quite vulnerable to traumatic injuries and are very common among all age groups resulting in plethora of problems from simple crown infarctions to avulsion of teeth. A crown root fracture of the anterior teeth mainly affects children and adolescents; one of the main reasons is due to increased outdoor sports and recreational activities. Salvaging the fractured teeth through reattachment should always be the priority of the treating clinicians if the fracture segment is available without compromising the periodontium. Reattachment of fractured tooth fragments can immediately restore form, function and esthetics, provides a positive psychological response, and is a relatively simple procedure due to advancements in adhesive and restorative dentistry. The prognosis of such cases depends on the degree of fracture, pulpal involvement, level of eruption, apex formation. Since the anterior crown fracture has direct psychological impact on the patient, so reattachment should be ideally done as it brings out the best esthetics in immediate vicinity after trauma and can give a perfect smile to the patients.