Clinical Outcomes of Fragment Reattachment and Direct Composite Restoration for Anterior Crown Fractures in Permanent Teeth: A Retrospective Cohort Study

Both fragment reattachment and direct composite restoration demonstrated favorable clinical effects on the treatment of permanent anterior crown fractures in children and adolescents. Fragment reattachment was recommended as the primary treatment option for pediatric patients due to its clinical advantages in procedural simplicity, time efficiency, and aesthetic preservation. It can be concluded that younger age and teeth with Classes C and c1 fracture patterns significantly increase failure risks in direct composite restorations. Close follow-up is highly recommended during the first 12 months post-treatment.