The reattachment of the crown fragment to a fractured tooth is a conservative treatment that should be considered for patients with crown fractures of anterior teeth. This case report describes the reattachment of crown fragment that is discolored because of dehydration. After 1 month, the fragment had regained some of the original color and translucency. After 1 year, the reattached fragment had satisfying esthetics and excellent function. The reattachment of the crown fragment should be done even if the crown fragment is discolored.
To produce a bonding system which has both high bond strength and antibacterial properties, an antibacterial agent (vancomycin: VCM or metronidazol: MN) was added to the PMMA powder of 4-META/MMA-TBB resin (CB). The influence of the addition of an antibacterial agent on tensile bond strength to dentin and the antibacterial effect were investigated in this study. Forty-seven freshly extracted bovine first or second incisors were used to measure the tensile bond strength to dentin. The bond strengths to bovine dentin were not significantly decreased by addition of VCM (1%, 2%, 5%), or MN (1%) to CB (p<0.05).The antibacterial effect of CB containing antibacterial agent on six strains of bacteria was investigated by the agar plate diffusion method, analyzing the appearance of the inhibition zone around a resin disk following anaerobic culturing.The resin disks containing VCM showed antibacterial effects on all of the strains examined; the widths of the inhibition zones were 4-15mm.The resin disks containing MN showed antibacterial effects on three strains; the widths of the inhibition zones were 0-4mm.It was thus possible to produce a bonding system with both antibacterial effect and high tensile bond strength by addition of VCM to PMMA powder.
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