Crown reattachment with complicated chisel-type fracture using fiber-reinforced post
Version of Record online: 8 JUN 2012
© 2012 John Wiley & Sons A/S
Volume 29, Issue 6, pages 479–482, December 2013
How to Cite
Stojanac, I., Ramic, B., Premovic, M., Drobac, M. and Petrovic, L. (2013), Crown reattachment with complicated chisel-type fracture using fiber-reinforced post. Dental Traumatology, 29: 479–482. doi: 10.1111/j.1600-9657.2012.01154.x
- Issue online: 11 NOV 2013
- Version of Record online: 8 JUN 2012
- Manuscript Accepted: 29 APR 2012
- crown reattachment;
- chisel-type fracture;
- fiber-reinforced post
Maxillary incisors and specifically their crowns are the most common teeth involved in dental trauma because of their exposed position in the dental arch. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture, with the necessity of endodontic treatment, fiber-reinforced posts (FRC) were used to create a central support stump to restore the dental morphology.
A 24-year-old male patient came to the dental clinic with dental injury to the maxillary left central incisor with a chisel-type fracture that extended subgingivally with a widely open pulp chamber. The patient reported a sports injury had occurred 1 day before. Provisional reposition of the crown was completed using a composite splint and after that endodontic treatment has been performed. Two days later, a fiber-reinforced composite resin post was placed into the canal and adhesive reattachment of the fragment also completed. The tooth was prepared for a composite resin veneer in the gingival third of the vestibular surface because of a visible fracture line.
The combined use of a fiber-reinforced composite resin post and the original crown fragment is a simple and efficient procedure for the treatment of traumatized anterior teeth that appears to offer pleasing esthetic and functional results that is less invasive than conventional prosthodontic treatment.