PMC5829313_01
Preoperative view showing psychologically disturbed boy due to Ellis class II fractured teeth 21 and 22.
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Clinical examination revealed fracture of maxillary left central and lateral incisors involving enamel and dentin with no pulp exposure (Figure 1).
Intact tooth fragment of tooth 22 (a). Composite reconstruction of tooth 21 and fragment reattachment with vertical groove placement of tooth 22 (b). Fiber post sectioned and placed in prepared vertical grooves (c, d).
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After thorough rinsing and drying, adhesive was placed on both tooth fragment (Figure 2(a)) and tooth structure and air thinned and light cured for 10 seconds. After reattachment, two vertical grooves of depth and width 2 mm were placed along the fracture line on the labial surface using depth orientation bur (Figure 2(b)). Fiber-reinforced composite posts (quartz no. 1) were cut of the same size and placed in the prepared grooves (Figure 2(c) and 2(d)).
Immediate postoperative picture (a). 3-year follow-up picture showing intact tooth fragment (b).
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Excess composite material was removed, finished, and polished (Figure 3(a)). One-year follow-up showed successfully retained fragment of maxillary left lateral incisor while composite restoration of maxillary left central incisor was dislodged; hence, reconstruction of dislodged composite restoration was done again. 2-year and 3-year follow-up showed successfully retained fragment and composite restoration serving their function, and the patient was asymptomatic throughout the period (Figure 3(b)).