Reattachment of complex fractures; a reality by advances in self-etch bonding systems

2019
An 18-year-old female patient reported to the Department of Conservative and Endodonticswith the chief complaint of fractured toothwith respect to 21 and increased pain and mobility tooth with respect to 22. Intraoral periapical radiograph of 21 revealed coronalloss of tooth structure involving enamel, dentin, and pulp, suggestive of split tooth with respect to 21. Intraoral examination revealed a fracture of coronalstructure of 22 and increased mobility in the coronalaspect, suggestive of horizontal crown–root fracture. For management of 21, after endodonticphase, placement of fiberpost, and coronalbuildup, intentional reimplantation was done to expose and reattach the vertically fractured root fragment. For management of 22, after endodonticphase, crown lengtheningwas done, and the fractured fragment was reattached by making it a Natural Richmond's Crown. Radiographs revealed a complete sealing of the fractured fragment and proper positioning of the tooth.
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