Surgical reattachment of fractured tooth fragment: A report of 2 cases

Traumatic dental injuries involving anterior teeth often present a clinical and esthetic challenge. Among the various treatment modalities, surgical reattachment of fractured tooth fragments offers a conservative and predictable option that preserves natural form, color, and surface texture. This case report presents two clinical cases of complicated crown fractures of maxillary central incisors managed with surgical reattachment of the fractured fragments using fiber posts and adhesive resin cement. Both cases involved subgingival fractures requiring flap reflection for adequate isolation and access. Following atraumatic retrieval, hydration, and bonding of the fragments, fiber posts were used to reinforce stability. Clinical and radiographic follow-up demonstrated satisfactory esthetic and functional outcomes over six months. The report highlights that fragment reattachment, when combined with appropriate adhesive techniques and reinforcement, is a reliable, minimally invasive, and esthetically favorable approach for managing anterior tooth fractures.