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now an adult—returned with his mother for a review. The long-
term assessment revealed that the re-attached coronal fragment had
remained stable and functional over the 8-year period. This case
underscores that, with appropriate management, the re-attachment
of a traumatized tooth fragment can result in long-term success and
durability.

Fig 2: Frontal view - Child reported to the clinic.
Fig 4: Digital IOPA Paralleling
technique radiograph - 21 –
Incisal part upto middle-third
missing – pulpal horns close to
the lost tooth structure. Root
apex formation complete. No
periapical changes on Day 6
post trauma.

Fig 3: Ellis & Davey’s class II fracture

Fig 6: Tooth number
21 following the
re-attachment of the
coronal fragment
using 3M ESPE Z350
Flowable composite.
The fragment,
initially dehydrated,
is expected to match
the natural tooth
shade once it fully
rehydrates over time,
in saliva.
Fig 5: Fractured incisal fragment.

Fig 7: Incisal view – 21 after fragment re-attachment.

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Dental Practice I July-August 2024 I Vol 20 No 4 13