A biologic approach to crown fracture: Fragment reattachment with Ribbond for immediate esthetics: A case report

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available and there is no or minimal violation of the biological width is the reattachment of the fragment. This article presents a novel technique for reattachment of obliquely fractured fragment of vital maxillary central incisor with pulp exposure. Pulp capping was done using mineral trioxide aggregate (MTA). Polyethylene fiber (Ribbond) and flowable composite were used to reattach the fractured fragment using an internal groove technique to provide high fracture strength to restored tooth. Ribbond fibers can be used to give additional strength to the reattached tooth fragment so that the tooth obtains fracture resistance equal to an intact tooth.