Crown reattachment with complicated chisel-type fracture using fiber-reinforced post

Area of Science:

• Dentistry
• Dental Trauma Management

Background:

• Maxillary incisors are prone to complex crown fractures due to their exposed position.
• Traumatized anterior teeth necessitate prompt functional and esthetic restoration.
• Fiber-reinforced posts (FRC) are utilized for creating support stumps in endodontically treated fractured teeth.

Observation:

• A case report details the treatment of a 24-year-old male with a subgingival chisel-type fracture of the maxillary left central incisor.
• The fracture involved a widely open pulp chamber following a sports injury.
• Initial management included provisional crown repositioning with a composite splint and endodontic treatment.

Findings:

• A fiber-reinforced composite resin post was placed, followed by adhesive reattachment of the original crown fragment.
• A composite resin veneer was applied to address a visible fracture line in the gingival third.
• The combined approach yielded satisfactory esthetic and functional results.

Implications:

• The use of FRC posts and adhesive reattachment of the original fragment is a simple, efficient, and less invasive alternative to conventional prosthodontic treatments.
• This technique provides a viable solution for restoring dental morphology and function in cases of complex anterior tooth fractures.
• The findings suggest a promising conservative approach for managing dental trauma in the esthetic zone.