Bio-Esthetic Restoration: A Novel Approach in Conservative Dentistry

Fracture of anterior teeth due to trauma is the most frequent type of injury affecting permanent dentition. Despite the availability of a wide range of restorative materials, none could match the properties of natural tooth structure like translucency, wear resistance, and color stability. Hence fragment re-attachment is an excellent method of restoring fractured teeth. When the fractured fragment of the patient’s tooth is not available, segment of an extracted tooth from tooth bank can be used as an alternative. In this case study, tooth #11 revealing Ellis’ Class II fracture was restored by fragment re-attachment method using an extracted tooth. Extracted tooth of matching shade was selected from the tooth bank, cut in accordance with the fractured portion, and attached using composite resin. At 1 year follow up, the restoration revealed good aesthetic, functional and psychosocial results, justifying the use of this technique to achieve the morpho-functional recovery of extensively damaged teeth.