RT - Journal of Clinical Pediatric Dentistry ID - 10.17796/jcpd.38.2.1217282p364675u5 T1 - Biological Restoration in a Young Patient with a Complicated Crown Root Fracture with an Autogenous Tooth Fragment A1 - Vinaya Kumar Kulkarni A1 - Raja Sridhar A1 - Mahesh Kumar Duddu A1 - Naveen Reddy Banda A1 - Saket Vyawahare A1 - Divya S Sharma K1 - biologic width K1 - central incisor K1 - composite resin K1 - crown-root fracture K1 - electro surgery K1 - glass fiberpost K1 - tooth fragment reattachment K1 - traumatic injury YR - 2013 SP - 117 AB -
Crown-root fractures are one of the most challenging trauma cases to treat. Reattachment of tooth fragment to a fractured tooth being a simple procedure conserves the tooth structure, maintains the natural esthetics value and is thus considered as a favorable treatment option. The reattachment procedure using composite resin should be considered if the subgingival fracture can be exposed to provide isolation after a careful evaluation of the biologic width involvement. This case report presents a complicated crown-root fracture of permanent maxillay left central incisor, involving the biologic width in an 11-year-old boy. The traumatized tooth was treated endodontically and reinforced by using glass fiber-post. Access to the subgingival margins was gained by electro surgery. The fractured fragment was reattached using bonding system and composite resin.