Conservative Management of a Complicated Crown-Root Fracture Using Fiber Post Reattachment: A Case Report

Dental trauma is frequently encountered among young adult males and may result in complex injuries involving both esthetic and functional challenges. This report describes the conservative treatment of a complicated crown-root fracture affecting the maxillary central incisor of a 24-year-old soldier who sustained facial trauma during military duty. The patient presented with swelling, bleeding, and a fractured anterior tooth. Initial management at a military hospital involved temporary stabilization of the mobile fragment. Upon clinical and radiographic examination, the fracture was initially believed to be limited to the coronal structure; however, removal of the fragment revealed an extension into the root with a 2 mm palatal periodontal pocket, confirming a diagnosis of complicated crown-root fracture. Root canal treatment was performed, followed by the placement of a fiber post. The preserved crown fragment, stored in saline, was reattached using adhesive bonding techniques. This approach provided favorable esthetic and functional outcomes while avoiding surgical intervention. The case emphasizes the importance of accurate diagnosis and individualized planning in the management of dental trauma. When appropriate, reattachment of the original fragment using fiber post support may serve as a reliable alternative to extraction or prosthetic replacement.