Tooth Fragment Reattachment Using Fiber Post: Preservation is Perfection

Abstract Background: Anterior coronal fractures are common sequelae of dental trauma in adolescents and young adults. Preserving natural tooth structure is paramount in such cases, as no restorative material can replicate the optical and morphological properties of enamel and dentin. Fragment reattachment, supported by fiber post reinforcement, offers a conservative, esthetic, and functionally reliable solution. Case Report: A 16-year-old female patient presented with traumatic fractures of the maxillary anterior teeth following a road traffic accident. Tooth 22 exhibited an Ellis Class III fracture with a loosely attached coronal fragment, while tooth 11 showed an Ellis Class II fracture. Following clinical and radiographic evaluation, tooth 22 was managed with single-visit root canal treatment and fiber-post–assisted fragment reattachment using composite resin. The fiber post acted as an internal splint, improving retention, reinforcing the coronal segment, and ensuring precise repositioning. Tooth 11 was restored with direct composite resin. Conclusion: Fragment reattachment with fiber post reinforcement provides a minimally invasive, cost-effective, and esthetically superior treatment option for anterior tooth fractures, restoring natural anatomy, function, and patient confidence.