Evaluation of success in the reattachment of coronal fractures

Abstract

The aim of this study was to evaluate clinically and radiographically the restored teeth using reattachment technique of fractured fragment to the remaining tooth. This study was conducted on 11 children (six girls and five boys; age range: 8-13 years). Before the treatment, the teeth were evaluated clinically and radiographically. The broken incisal part was directly reattached to the remaining tooth part with flowable resin composite. Thereafter, with the purpose of obtaining optimal esthetics and function, along the fracture line an external 'double chamfer' in the shape of a V was created and then covered with resin composite. During the follow-up (1-24 months) after the treatment, the teeth were evaluated clinically and/or radiographically with regard to periodontal, pulpal, coronal, color harmony of the fragments, and occlusion. In addition, the restored teeth were assessed in terms of parental-patient ratings of satisfaction. Both clinically and radiographically, no pathology was reported and all the restorations were successful. Moreover, the mean scores of parental-patient satisfaction were reported as 'satisfied, very-satisfied.'

Reattachment of Fractured Anterior Teeth—Determining Fracture Strength using Different Techniques: An in vitro Study

“…Moreover, the mean scores of parental-patient, satisfaction were reported as satisfied, very-satisfied. 15 The techniques described in this study are reasonably simple, while restoring function and esthetics with a very conservative approach. However, the professional has to keep in mind that a dry and clean working field and the proper use of bonding protocol and materials is the key for achieving success in adhesive dentistry.…”

Effect of Storage Media on Fracture Resistance of Reattached Tooth Fragment: An in Vitro Comparative Study.

“…A plethora of studies reported that fracture resistance of reattached tooth fragment can be improved with use of new adhesive agents, bonding materials and tooth preparation techniques techniques 14,15,16,17,18,19,20,21 . Apart from all these improvements, hydration of fragment also plays an important role in improving fracture resistance 9 .…”

Trans-operative reattachment of crown-root fragment: fundamentals of the technique and a case report

“…In all cases, however, the authors agree that it is not possible to do without the use of a composite resin when there is loss of tooth structure and the absence of a perfect fit between the fragment and tooth remnant. Accordingly, in the case in question, the use of low viscosity resin was chosen for the reattachment per se, so as to obtain a cementation line of minimal thickness due to the ease of flow of this type of resin [11][12][13][14][15][16] . In those areas that require a greater volume of composite resin, such as with the filling of the pulp chamber and in the mesiobuccal portion, use is made of micro-hybrid composite resins.…”