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Reattachment of hydrated fractured fragment of permanent maxillary central incisor, one of its kind (2 year follow up): A case report

Swati Kale, Nidhi Chowhan, SahilI Mungekar-Markandey

Abstract: Background: Traumatic injuries to maxillary anterior teeth are seen in children and adolescents to major extent resulting into anterior teeth fractures. Different treatment strategies are available for its management, although tooth fragment reattachment is considered to be a feasible treatment option due to its comprehensibility, aesthetics, and functional success. Case Description: Present case reports a case of a 10-year-old girl patient with a fractured permanent maxillary left central incisor (Ellis class II) with emphasis on hydration and reattachment of the fractured fragment. The present paper reports the reattachment of the stored fractured fragment in milk as a hydrating medium. The fragment was reattached using an adhesive bonding system and a resin composite material on the mesioincisal angle of 21 and the distoincisal angle was built up with traditional method. At 2-years follow up tooth maintain its vitality along with aesthetics and function. Conclusion: The retrieved fractured fragment of anterior teeth can be stored in milk till patient report to clinic followed by hydrating the fractured fragment using normal saline in dental office before reattachment. Clinical Significance: Management of available fractured tooth fragment by reattachment technique, offers a feasible and minimal non-invasive option for the dental clinician.
Keywords: fractured fragment / children / functional / anterior teeth / tooth fragment by reattachment

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