Long‐term results of crown fragment reattachment techniques for fractured anterior teeth: A retrospective case‐control study

Abstract

Objective Among the techniques used by pediatric dentists for the crown fracture is the fragment reattachment. The aim of this study was to evaluate the long‐term survival of the tooth reattachment in comparison to the composite restoration technique. Methods The study included 67 patients aged 7‐9 years (males 38/56.7%; females 29/43.3%), with noncomplicated fractures of permanent teeth. The patients were divided into two groups; group A included 32 patients (males 18/56.2%; females 14/43.8%; total number of affected tooth 36), and group B comprised 35 patients (males 20/57.1%; females 15/42.9%; 36 affected tooth). In group A patients the reattachment was conducted after the trauma, and the direct composite restoration technique was used for patients in group B. All patients were evaluated for complications and pulp status for 5 years. Results There were no significant differences (P > 0.05) in terms of the occurrence of complications observed between groups throughout the 5‐year observation period. Conclusion Both methods provide similar results over the 60 months of observation. Clinical Significance Reattachment technique has shown to be a reliable treatment option that might be considered as a primary technique when the fragment is saved after the trauma.

Clinical Evaluation of Restoration of Grossly Carious Primary Teeth Using Biological Approach

“…Similar results were obtained in a retrospective case-control study conducted by Sarapultseva and Sarapultsev, 19 Mendes et al, 20 and Karre et al 21 who showed a success rate of the patients treated with a biological approach and it could be indicated a good alternative to all other techniques. 22 …”

Survival analysis of adhesive reattachments in permanent teeth with crown fractures after dental trauma

“…These results were in accordance with earlier published data by Brambilla and Cavallè, 33 who proposed that in case of This study is similar to previously published reports which showed that a distinct proportion of reattached fragments will be lost. 9,14,16,17 Such events mostly occurred within the first year after the accident in the present sample (Table 2). Interestingly, most of the fragments were re-reattached again with an adequate high survival rate (Figure 2).…”

“…The latter technique is a good first choice in dental practice due to the possibility of restoring the individual crown form (shape, color, translucence, and surface texture), aesthetics, and functionality in the shortest amount of time (Figure 1). Furthermore, this treatment approach is arguably minimally invasive, simple to perform and, therefore, an efficient restoration technique 9‐12 …”

“…Furthermore, this treatment approach is arguably minimally invasive, simple to perform and, therefore, an efficient restoration technique. [9][10][11][12] In addition, reattachments are associated with a low or equal survival probability in comparison with that of direct composite restorations. 9,13,14 Unfortunately, the number of laboratory and clinical studies is small.…”

“…[9][10][11][12] In addition, reattachments are associated with a low or equal survival probability in comparison with that of direct composite restorations. 9,13,14 Unfortunately, the number of laboratory and clinical studies is small. 9,10,[14][15][16] Most importantly, clinical data and experience originate from older reports or case series only.…”