A CASE REPORT ON MANAGEMENT OF COMPLEX CROWN FRACTURE BY NON SURGICAL ENDODONTIC TREATMENT AND FRAGMENT REATTACHMENT-A NOVEL APPROACH.

Anterior crown fractures are common form of traumatic dental injuries that mainly affect the maxillary anterior teeth in children, teenagers as well as adult population. A trauma with accompanying fracture of anterior teeth is an agonizing experience for a young individual which requires immediate attention, not only because of the physical disfigurement but also because of the psychological impact on the patient. Over time numerous techniques and materials have evolved for the restoration of the injured teeth: resin composite with or without pin, orthodontic bands, resin crown and ceramic crowns. Since the development of the adhesive dentistry, many case reports of crown fractures restored using adhesive reattachment techniques were published. Reattachment of fractured tooth fragments can provide good and long-lasting esthetics (because the tooth?s original anatomic form, colour , and surface texture are maintained). It also restores function, provides a positive psychological response, and is a relatively simple procedure. Patient cooperation and understanding of the limitations of the treatment is of utmost importance for good prognosis. This article reports management of one coronal tooth fracture case that were effectively treated using tooth fragment reattachment on palatal aspect specially along with the use of adhesive resins for coronal build up.