Immediate Esthetic Management of Complicated Crown - Root Fracture: A Case Report

Dental trauma sometimes causes fractures in the maxillary anterior teeth leading to esthetic, functional and phonetic quandaries. In this report, we describe the treatment of middle third root fracture of maxillary centrals and cervical third crown fracture of lateral incisor simultaneously fractured due to dental trauma. Treatment involved reattachment and splinting of fractured fragments with glass –fibre and composite resin in case of lateral incisor. This reattachment technique, which uses advanced adhesive systems, is an alternative that offers satisfactory esthetic and functional results. For the two maxillary central incisors with horizontal root fractures, the management and 2 year follow-up with mineral trioxide aggregate (MTA) as apical plug is described. Among the treatment options for such cases, the treating clinician considered splinting procedure to be the best choice. Healing was achieved without any need for further interventions.