Rebuilding smiles naturally fragment reattachment as a minimally invasive solution for anterior tooth fractures: A case series

• Author Details:   
• Priya Pal
• Jyoti Jain ^*
• Ramesh Bharti
• Promila Verma
• Anjali Mall
• Zoya Kidwai

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Trauma to anterior teeth is a common dental emergency, often resulting in complicated crown fractures that require prompt and effective management. Fragment reattachment presents a conservative, cost-effective, and aesthetically superior alternative by preserving the natural morphology, colour, and translucency of the tooth. This case series reports the management of three young patients with traumatic maxillary incisor fractures. The fractured fragments, loosely attached to the palatal gingiva, were surgically removed, preserved, and reattached following endodontic treatment. Reattachment was carried out using fibre posts, dual-cure resin cement, and self-etch adhesives, providing both structural reinforcement and aesthetic restoration. At 12-month follow-up, all cases showed excellent stability, function, and patient satisfaction. With advancements in adhesive systems and fibre-reinforced materials, fragment reattachment has become a reliable, minimally invasive treatment of choice for anterior tooth fractures when the fragment is intact and retrievable.

Keywords: Complicated crown fracture, Fiber post, Fragment reattachment, Fracture resistance, Micromechanical retention, Resin cement, Traumatic dental injury.