Volume 24, Issue 104, July - August, 2020

Reattaching the fractured fragment in Ellis Class 3, without extraction/removal of that fragment

Saurabh Rathi^1♦, Pradnya Nikhade², Pavan Bajaj³, Nidhi Motwani⁴, Joyeeta Mahapatra⁵

¹Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha ,Maharashtra 44200; India, Email: saurorathi@gmail.com
²Professor, Department of Conservative Dentistry and Endodontics, Dean Academics, Faculty of Dentistry, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha ,Maharashtra 442001; India, Email: deanacademicsspdc@gmail.com
³Reader, Department of Periodontology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha ,Maharashtra 442001; India, Email: pavbajaj@gmail.com
⁴Department of conservative dentistry and endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha ,Maharashtra 442001; India, Email: nidhimotwani20@gmail.com
⁵Department of conservative dentistry and endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha ,Maharashtra 442001; India, Email: joyeetamahapatra@gmail.com

^♦Corresponding author
Department of Conservative Dentistry and Endodontics, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Medical Sciences (Deemed University), Sawangi (M), Wardha, Maharashtra 44200; India. Email: saurorathi@gmail.com

ABSTRACT

The dental trauma can be considered as a public health problem. The increased prevalence of anterior tooth fracture warrants a most conservative approach for treatment of complicated tooth fracture. Currently, most common treatment option for partial fracture is to remove the fragment followed by reattachment. The present case report describes a novel therapeutic approach for reattachment of fragment without removing it. This systemic ultraconservative approach is simple and may help in minimal tooth destruction with maximum preservation of original anatomy. The mobile fracture segment is first stabilized using splinting, followed by endodontic treatment. The fracture fragment is reattached by keeping it intact and without extraction/removal. Follow up showed satisfactory result.

Keywords: Reattachment, Fracture, Partial fracture, Trauma

Medical Science, 2020, 24(104), 2445-2451

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