Management of Vertical Fracture of a Deciduous Tooth – A Case Report

Abstract

Background:- A replacement of a missing deciduous tooth is of importance to provide aesthetics, function, comfort, self confidence and overall well being of a pediatric patient. This article reports a case in which a composite pontic is used as a replacement option for the missing crown of the fractured deciduous tooth which is bonded on either side of the missing tooth using fibre reinforced composite. Methods:- A composite tooth was used as a pontic which was bonded to the adjacent teeth using a bondable, reinforcing polyethylene fibre, along with preservation of the root of the deciduous tooth. Results:- Aesthetics obtained as a result were satisfactory for the patient and the parent. Conclusion:- After three months of clinical use, a single-tooth replacement using the composite tooth pontic provided acceptable aesthetics and function. Polyethylene fibers appeared to have best properties so as to be used in such a scenario. Along with ease of application fiber can be used alternative to traditionally used materials in the management of such cases.