Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports

Pavone, A.; Ghassemian, Marjan; Mancini, Manuele; Condò, Roberta; Cerroni, Loredana; Arcuri, C; Pasquantonio, Guido

doi:10.1155/2016/9352129

Cited by 9 publications

(13 citation statements)

References 20 publications

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“… 1 Dental trauma results either as crown fracture or avulsion and with or without pulpal involvement or bone fracture. 2 Crown fractures of the anterior teeth have been found to have a profound influence on social and psychological well-being of a child/adult patient. Besides minor luxation injuries such as concussion or loosening of the teeth, crown fractures are the most common consequences of dental trauma.…”

Section: Introductionmentioning

confidence: 99%

Fracture Resistance of Reattached Hydrated Fragment of Fractured Incisors

Suresh¹,

Mallikarjun²,

Babu³

et al. 2020

International Journal of Clinical Pediatric Dentistry

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A bstract Background and objectives Fragment reattachment procedure provides conservative treatment option when an intact fractured fragment is available. Rewetting of fractured fragment before reattaching has shown better bond strength of attached fragment. Therefore, fracture resistance of reattached fractured fragment with hydration and without hydration was evaluated and compared. Materials and methods Ellis class II fracture was induced in selected and coded 60 extracted maxillary central incisors using a custom-made-wise and assigned into group I and group II (without hydration and with hydration) and both the groups were further divided into two groups (1 week and 3 months). In group I, fractured fragments were reattached after bench-drying for 24 hours. In group II, fractured fragments were reattached after hydrating for 1 hour following bench-drying for 24 hours. Composite (Filtek Z350 XT, Universal Restorative, 3M ESPE) was used to reattach the fractured fragments. Reattached fractured fragments were stored in artificial saliva for 1 week and 3 months and subjected to fracture resistance test using Universal Testing Machine. The data obtained were tabulated and statistically analyzed. Results Fracture resistance in hydration samples was higher than without hydration at the end of 1 week and 3 months statistically. Fracture resistance of fractured fragment at the end of 3 months was higher in both with hydration and without hydration but was not significant with hydration. Conclusion Hydration of fractured fragment before reattachment procedure has shown better fracture resistance and improved further after storing in artificial saliva for 3 months. How to cite this article Suresh M, Mallikarjun SB, Babu G, et al. Fracture Resistance of Reattached Hydrated Fragment of Fractured Incisors. Int J Clin Pediatr Dent 2020;13(5):476–480.

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Section: Introductionmentioning

confidence: 99%

Fracture Resistance of Reattached Hydrated Fragment of Fractured Incisors

Suresh¹,

Mallikarjun²,

Babu³

et al. 2020

International Journal of Clinical Pediatric Dentistry

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“…This technique offers some advantages over conventional prosthetic restorations [ 5 ]. These advantages include the maintenance of the color and shape of the original tooth, psychological benefits to the patients, the conservative nature of the treatment, and the speed and feasibility of the technique [ 6 – 8 ].…”

Section: Introductionmentioning

confidence: 99%

Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach

Mendes

Laxe

Passos

2017

Case Reports in Dentistry

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This report describes the 10-year follow-up data of a patient who underwent fragment reattachment to the maxillary central incisor after coronal fracture with pulp exposure as well as the procedures followed for functional and esthetic adjustments. A 9-year-old female patient presented at the clinic of dentistry at the State University of Rio de Janeiro with a coronal fracture and pulp exposure of the right maxillary central incisor that had occurred immediately after an accident. The intact tooth fragment was recovered at the accident site and stored in milk. The treatment plan followed was to perform direct pulp capping and tooth fragment reattachment. When the patient was 14 years old, adhesion between fragment and remaining tooth was lost, and fragment reattachment was performed. Five years later, the same tooth presented clinical discoloration and absence of sensitivity during pulp vitality tests. Subsequently, a new treatment plan was formulated, which included endodontic treatment, followed by nonvital tooth bleaching and light-cured composite resin restoration. An esthetic and natural-looking restoration was achieved. Tooth fragment reattachment is not a temporary restorative technique and requires functional and esthetic adjustments over time to maintain the biomimetic characteristics of traumatized anterior teeth and predictable outcomes.

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“…Treatment modalities for approaching crown-root fractures range from minimally invasive procedure as in fragment reattachment to a more extensive one with the whole fractured tooth being replaced [6]. Fragment reattachment using adhesive materials offers a conservative approach and immediate restoration of aesthetic and function to a traumatized anterior tooth [7,8].…”

Section: Discussionmentioning

confidence: 99%