Tooth Fragment Re-attachment: A Biological Approach

Coronal fractures of the anterior teeth are more prevalent in young children and teenagers. The use of dental adhesive materials to re-attach tooth fragment seems to be a feasible treatment option and has several advantages, including the restoration of function, aesthetics, shape, texture, and brightness of the surface. This case report presents 8-year-old child with Ellis class II fracture in right maxillary central incisor with open apex reported to the department along with tooth fragment. Indirect pulp capping with MTA in the prepared slot along with tooth fragment re-attachment was performed by doing etching and bonding only on enamel surface. On 3rd month and 6th month follow up, the re-attached fragment were evaluated clinically and radiographically which showed good success. Tooth was vital when performed electric pulp testing and thermal test. There was no color changes in the re-attached fragment had good appearance and root-end development was evident.