Saving a Completely Fractured Tooth and Restoring It with Beautiful Prosthetics #MeisterDental #Replantation #ToothPreservation

There are teeth that seem salvageable but cannot be saved (e.g., severe periodontal disease),

and there are teeth that seem hopeless yet can surprisingly be preserved.

The tooth I am introducing today is a prime example: a front tooth that was diagnosed as unsalvageable after being severely fractured due to trauma.

Because the patient valued their natural front tooth so much, they endured the situation without having it extracted.

Any dental professional looking at this image would immediately think, "There is no way to save this tooth!"

The root was shattered into three or more fragments.

It was sheer luck that the tooth had not fallen out and remained in the mouth, but it would not have been surprising if it started wobbling at any moment.

As mentioned, the patient held out hope that there might be a way and eventually came to see me.

Remarkably, after comprehensive evaluations including CT scans, we determined that it was worth attempting to save the tooth,

and we decided to proceed with intentional replantation using adhesive bonding for the fractured fragments.

We carefully extracted the fractured root fragments and meticulously bonded them together.

To be honest, even while performing the procedure, I couldn't help but worry, wondering, "Will this truly work? What if it fails?" as the patient and I waited together.

Eight months have passed, and the tooth remains firm with no adverse reactions.

The patient was deeply grateful that their natural tooth was saved.

Since I successfully preserved the tooth root, I referred the patient to Dr. Yeo-jun Koh at Seocho Meister Dental Clinic—a leading expert in anterior aesthetic prosthetics in Korea—for the final restorative work.

This rewarding tooth preservation was made possible through a collaboration between saving a fractured tooth with adhesive bonding and master-level anterior aesthetic prosthetics.

I do not provide routine checkups or simple, general dental treatments.

My practice focuses primarily on saving teeth deemed hopeless or scheduled for extraction, as well as adhesive ceramic restorations without root canals or crowns.

Please note that I do not perform simple, standard treatments or general oral examinations.

For a more detailed explanation, please check out the YouTube video.

#CrackedTooth #FracturedTooth #Replantation #DrYongHoonChoi #SaveNaturalTeeth

Frequently Asked Questions

Can a tooth with a root shattered into multiple pieces from trauma be saved?

Yes, depending on the results of a detailed diagnostic workup, such teeth can sometimes be preserved using adhesive replantation. Even if the root is fractured into three or more pieces, we evaluate the feasibility through comprehensive CT diagnostics, extraorally bond the fractured segments, and replant the tooth.

How is intentional replantation of a fractured tooth performed?

The fractured fragments are carefully extracted, meticulously bonded outside the mouth, and replanted back into the original socket. After confirming the viability of preservation through CT and various exams, the procedure is carried out, followed by a monitoring period to allow the bone and tooth to stabilize firmly.

How is prosthetic treatment handled after tooth replantation?

Prosthetic restoration is performed only after the replanted tooth root has healed and stabilized. In this case, after an 8-month observation period confirming the tooth was solid and firm, the treatment was completed with aesthetic anterior prosthetics at Seocho Meister Dental Clinic.

Can a tooth loosened by periodontal disease also be saved with replantation?

No, teeth severely compromised by periodontal disease are generally not candidates for replantation. While teeth affected by advanced gum disease are difficult to preserve, teeth fractured due to physical trauma can sometimes be saved through adhesive replantation under the right clinical conditions.