92  Journal of Restorative Dentistry / Vol - 2 / Issue - 2 / May-Aug 2014 A conservative approach towards the restoration of coronal fracture in anterior teeth Mohamed A. Arnaout Department of Conservative Dentistry and Prosthetic, Collage of Health Science School of Dentistry Moi University, Eldoret, Kenya Address for correspondence: Dr. Mohamed A. Arnaout, P.O. Box 3818, Rift Valley, Eldoret, Kenya. E-mail: moh.arnaout@gmail.com INTRODUCTION Fracture of anterior teeth by trauma is the most frequent type of injury in the permanent dentition, especially among children and adolescent affecting up to 25% of this patient population. [1] Most dental injuries involve just one tooth, and the majority of the affected teeth are maxillary central incisors. [2-4] Dental injuries usually affect only a single tooth; however, certain trauma types such as automobile accidents and sports injuries involve multiple tooth injuries. [5] This may be aĴributable to their anterior position and protrusion caused by the eruptive paĴern. [6] Several factors influence the management of coronal tooth fractures, including extent of fracture (biological width violation, endodontic involvement, alveolar bone fracture), paĴern of fracture and restorability of fractured tooth (associated root fracture), secondary trauma injuries (soft tissue status), presence/absence of fractured tooth fragment and its condition for use (fit between fragment and the remaining tooth structure), occlusion, esthetics, finances and prognosis. [7-9] Clinicians used a variety of procedures (e.g., pin-retained resin, orthodontic bands, modified three-quarter crowns, full-coverage gold with bonded porcelain, porcelain jacket crowns, porcelain-bonded crowns, porcelain inlays) for the restoration of the fractured crown. [10] Despite the recent advances in adhesive materials and restorative technique, there is no restorative material that can reproduce the esthetic and functional needs as much as the natural dental structures. [11] One of the options for managing this clinical situation, especially when there is no or minimal violation of the biological width, is the reaĴachment of dental fragment. [12] Tooth fragment bonding offers the advantage of being a highly conservative technique that promotes preservation of natural tooth structure, good esthetics and acceptance by the patients, who receive a psychological benefit from amelioration of the mutilation. [13,14] Patient cooperation and understanding the limitations of the treatment is of utmost importance for good prognosis. When there is a substantial associated periodontal injury Coronal fractures of permanent dentition are the most frequent type of dental injury. Reattachment of the fractured anterior tooth, if the tooth fragment is available, is highly conservative and provides good esthetics as the (because the tooth’s original anatomic form, color, and surface texture are maintained) esthetic treatment has gained popularity in the recent past. It also restores function, provides a positive psychological response, and is a relatively simple procedure. This article reports on two coronal tooth fracture cases that were successfully treated using tooth fragment reattachment. Keywords: Conservative, coronal fracture, esthetics, reattachment ABSTRACT Case Report Access this article online Quick Response Code: Website: www.jresdent.org DOI: 10.4103/2321-4619.136647 [Downloaded free from http://www.jresdent.org on Saturday, December 06, 2014, IP: 42.2.221.171] || Click here to download free Android application for this journal