Management of fractured anterior teeth by biological restoration: An ultra conservative Approach

Fracture of anterior teeth specially maxillary incisors is relatively common occurrence in children & adolescences. There are various treatment modalities of management of fractured anterior teeth. Factors determining the treatment plan and prognosis for teeth fractures include the extent of fracture, endodontic involvement, periodontal status, maturity of root, presence or absence of fractured tooth fragment, occlusion, finances etc. One of the excellent mode of treatment of crown fracture is biological restoration .When the fractured fragment of patient’s own tooth is reattached called autogenous bonding but when the fracture fragment of patient’s tooth is not available, segment of an extracted tooth from tooth bank can be used, it refers to homogenous tooth bonding. The present case report describes the successful management of fractured upper anterior teeth using both homogenous tooth bonding (in case of Ellis class II fracture in 11) & autogenous tooth fracture reattachment with the help of fiber post after completion of endodontic treatment (in case of Ellis class III fracture in 21). At 3 months follow up, the restoration revealed good aesthetic, functional & psychosocial results.