Successful management of crown fractures through fragment reattachment: two case reports

Background: Traumatic dental injuries (TDIs) are common in children and young adults, particularly involving the permanent maxillary central incisors, leading to both aesthetic and functional concerns. Fragment reattachment, an established procedure in adhesive dentistry, provides a reliable solution for restoring fractured teeth by preserving the natural anatomy and improving the aesthetic outcome. Case Reports: This article presents two cases of crown fractures treated with fragment reattachment. In Case 1, a 9-year-old patient with an Ellis Class III fracture of the maxillary right central incisor underwent reattachment after apexification, with the addition of a glass fiber post for enhanced strength. In Case 2, both maxillary central incisors were fractured, with one reattached using biopins made from the patient’s own tooth fragment. Both procedures yielded favourable outcomes with regard to aesthetics and function. Discussion: These presented cases show that tooth fragment reattachment works well for restoring fractured teeth. Using biopins looks promising, but more research is needed to establish long-term reliability and clinical protocols. Conclusion: Fragment reattachment offers significant advantages in terms of aesthetics, cost-effectiveness, and psychological impact, preserving the tooth’s natural form and function.