Aesthetic Restoration of Fractured Anterior Teeth Using Original Tooth Fragment

Abstract

The purpose of this study is to evaluate the success rate for the restoration of fractured anterior teeth, using the original tooth fragment. This treatment procedure was carried out on patients who visited the Dental Clinic, bringing with them the fractured and detached portion of the anterior tooth. Three patients visited the clinic with the fractured incisal half of the upper central incisor. The other three patients visited the clinic with the fractured full crown of the central incisor tooth (two patients) and the lateral incisor tooth. The incisal half of the original tooth fragment was placed in the correct position, and an internal V-shaped notch bevel preparation was performed within the enamel, on both the incisal edge and the remaining portion of the tooth. All the beveled areas were etched with acid and dried with air. After applying the bonding agent, the light cure composite filling material was placed on the etched area all round. The fractured incisal edge was placed on the remaining part of the fractured ‘tooth in the correct position over the composite material carefully and held firmly during the polymerization of the resin. The other three patients visited the clinic with the fractured full crown of the upper central and lateral incisors. In these patients all fractured teeth were treated endodonticaly in the first stage. In the second stage, a ready made stainless steel post was cemented into the root canal and the fractured original crown was fitted in the correct position using glass ionomer cement (GIC). In the third stage the fracture line was filled with composite as mentioned earlier. The three-year follow-up study showed that this type of treatment was successful in both groups of patients.