Minimal Intervention Approach for Complicated Crown- root Fracture using Reattachment procedure: Three Years Follow-up


Complicated crown root fracture
dental trauma
fiber post
tooth reattachment


Crown-root fractures are commonly encountered in dental practice, and their management poses a challenge to clinicians. With the advent in adhesive dentistry, reattachment of the fractured segment became a viable restorative alternative. Reattachment is a conservative treatment option that allows for immediate restoration of function, esthetics and phonetics. This case report presents a minimal intervention approach to the management of a complicated crown root fracture. The tooth was endodontically treated followed by esthetic reattachment of the fractured fragment using composite fiber post. The patient was followed up for three years, and clinical and radiographic examinations showed a successful treatment outcome.



Martins AV, Albuquerque RC, Lanza LD, Vilaça Ê L, Silva N, Moreira AN, et al. Conservative treatment of a complicated crown-root fracture using adhesive fragment reattachment and composite resin restoration: Two year follow-up. Oper Dent. 2018;43(3):E102-e9.
Raut AW, Mantri V, Shambharkar VI, Mishra M. Management of complicated crown fracture by reattachment using fiber post: Minimal intervention approach. J Nat Sci Biol Med. 2018;9(1):93-6.
Bagis B, Korkmaz YT, Korkmaz FM, Durkan R, Pampu AA. Complicated subgingivally fractured central and lateral incisors: case report. J Can Dent Assoc. 2011;77:b145.
Grecca FS, Rosa AR, Gomes MS, Parolo CF, Bemfica JR, Frasca LC, et al. Effect of timing and method of post space preparation on sealing ability of remaining root filling material: in vitro microbiological study. J Can Dent Assoc. 2009;75(8):583.
Jagannath-Torvi S, Kala M. Restore the natural - A review and case series report on reattachment. J Clin Exp Dent. 2014;6(5):e595-8.
Macedo GV, Diaz PI, De OFCA, Ritter AV. Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent. 2008;20(1):5-18:9-20.
Reis A, Francci C, Loguercio AD, Carrilho MR, Rodriques Filho LE. Re-attachment of anterior fractured teeth: fracture strength using different techniques. Oper Dent. 2001;26(3):287-94.
Bosso K, Gonini Júnior A, Guiraldo RD, Berger SB, Lopes MB. Stress generated by customized glass fiber posts and other types by photoelastic analysis. Braz Dent J. 2015;26(3):222-7.
Stojanac I, Ramic B, Premovic M, Drobac M, Petrovic L. Crown reattachment with complicated chisel-type fracture using fiber-reinforced post. Dent Traumatol. 2013;29(6):479-82.
Rollings S, Stevenson B, Ricketts D. Posts--when it all goes wrong! Part 1: case assessment and management options. Dent Update. 2013;40(2):82-4.