Biomimetic Restoration Through Fragment Re-attachment in Pediatric Dental Trauma: A Case Report

Dental trauma is one of the most prevalent problems seen in clinical practice. Crown fractures of anterior teeth are particularly common among children and adolescents. Such injuries have significant physical, psychological, and social impacts, necessitating immediate intervention. This case report describes the management of an uncomplicated crown fracture in an eight‑year‑old girl following traumatic dental injury. The fractured fragment was retrieved, stored appropriately, and re‑attached using adhesive protocols. The procedure involved cleaning and conditioning of both the tooth and fragment, application of bonding agent, and re‑attachment with resin composite. Finishing and polishing restored esthetics and function. Follow‑up was done after one week, followed by one month, and then at three months, revealing satisfactory esthetics, intact fragment retention, and absence of sensitivity or pulpal pathology. The patient and parents expressed high satisfaction with the conservative approach. Fragment re‑attachment represents a biomimetic and conservative restorative option for managing traumatic crown fractures in pediatric patients. Advances in adhesive dentistry have made this technique reliable, predictable, and esthetically superior, preserving the patient's own tooth tissue while minimizing chairside time and psychological distress.