Reattachment Of Embedded Tooth Fragment: A Case Report

Abstract

Soft tissue injuries are relatively common following traumatic dental injuries in children. This report describes a case of a nine year old girl who had a foreign body embedded in the lower lip due to fall, while playing. Thorough clinical examination followed by soft tissue radiographs confirmed the presence of a fractured incisal fragment, which was surgically retrieved under local anesthesia. The fragment was then reattached using a dentin bonding agent. Fragment reattachment is a realistic alternative to resin composite buildup for restoring esthetics and function of the traumatized dentition. The natural fragments can be used to ensure the restoration "ad integrum" of the dental crown by simple bonding. With expected improved bonding technology in the future, these fragments may serve for many years.

Surgical Retrieval of Tooth Fragment from Lower Lip and Reattachment after 6 Months of Trauma

“…A soft tissue radiograph can well be an occlusal view or radiograph film placed between lips and dental arch with low exposure. 14 The worst complication is aspiration of foreign bodies that can lead the patient to a variety of chronic airway problems and even death if not precociously diagnosed. 15 Another important factor is the differential diagnosis, mainly in delayed traumas, because the radiographic image of dental fragments included in the mouth floor can be similar to sialolithiasis of the salivary glands.…”

Single visit reattachment of fractured incisal edges using different post systems

“…19 The use of natural tooth fragment for reattachment reduces the difficulties encountered in reproducing natural contour texture and contour as compared to the direct restorative materials. 20 In both the cases treated by us the reattached fragments were in proper function for a period of 1 year without any dislodgement of the reattached fragment.…”

Management of a Subgingivally Fractured Central Incisor by Re-attachment Using a Fiber Post

“…16 The use of natural tooth substance clearly elimination problems of differential wear of restorative material, unmatched shades and difficulty of contour and texture reproduction associated with other restorative techniques. The re-attachment of a tooth fragment is a viable technique that restores function and aesthetics with a very conservative approach, but for each trauma case should be attempted to restore on an individual basis.…”