Lost and found! Tooth fragment reattachment after 8 Mo of trauma

Kakkunath, Sudheesh Mani; Katta, Nandini Kumari; Bds, Ravi Shankar Babu Yelamanchi; Deepthi, M. V.

doi:10.1002/ccr3.2463

Cited by 2 publications

(1 citation statement)

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“…In the present case, the reattachment technique was the most conservative way of restoring the affected tooth. Numerous articles have reported the success of this approach 21,24,36) . Hydration of the fractured segment is a critical factor in the success of this type of treatment as it is necessary to prevent the collagen fibers of the dentine from collapsing, thus affecting both the bonding capacity and the natural appearance of the detached segment.…”

Section: Discussionmentioning

confidence: 99%

Reattachment of Fractured Tooth Fragment by Multidisciplinary Treatment Approach

Arias

Ledezma

Terán

et al. 2023

Bull. Tokyo Dent. Coll.

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Dental anterior fractures are common injuries, especially in those who practice extreme sports. This report describes a 25-year-old Bolivian patient who attended our private dental clinic in La Paz, Bolivia after experiencing an accident during downhill mountain biking. An intraoral examination revealed a fracture line on the buccal side in the middle third of the coronal portion of the right central maxillary incisor which extended towards the proximal and lingual sides. Multidisciplinary treatment, including crown lengthening, osteotomy, root canal treatment, fiberglass post insertion, and reattachment of the fracture segment was performed. A follow-up examination at 10 months later revealed that the tooth was completely reestablished both functionally and esthetically and that there was no periapical pathosis or discomfort. This outcome suggests that if a patient seeks a dental consultation soon after a complex crown-root fracture has occurred, and if the broken tooth segment is available, then reattachment offers an economical and simple treatment option which will allow immediate restoration of functionality and esthetic standards. Continued follow-up should form part of such a treatment plan to allow long-term pulp vitality and periodontal health status to be monitored.

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Section: Discussionmentioning

confidence: 99%

Reattachment of Fractured Tooth Fragment by Multidisciplinary Treatment Approach

Arias

Ledezma

Terán

et al. 2023

Bull. Tokyo Dent. Coll.

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An assessment of Brazilian dentists' knowledge about tooth fragment reattachment: A cross‐sectional study

Pinheiro,

Almeida,

Garcia

et al. 2024

Dental Traumatology

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Background/AimCrown fractures are common traumatic dental injuries and tooth fragment reattachment is a viable option for restoring a fractured tooth. The aim of this study was to assess the knowledge and experience of dentists in the Federal District regarding the tooth fragment reattachment technique for enamel and dentin fractures.Materials and MethodsFor the cross‐sectional observational study, an electronic form was designed with objective and self‐report questions for dentists. The data were analyzed using descriptive statistics, with their absolute and relative frequencies. For the analysis of categorical variables, the nonparametric chi‐squared or Fisher exact association tests were used in the statistical software R (version 4.2.1).ResultsA total of 416 dentists participated in the study (58.9% female and 41.1% male). Of these, 70% declared they knew about fragment reattachment, but only 42.3% reported previous experience with this procedure. The most common storage medium used for the fractured fragment was milk (78.1%), and the bonding material used for reattachment was light‐cured composite resin (86.3%). A majority (66.3%) reported that for a patient with enamel and dentin fracture, with the crown fragment in good condition, they would choose to do the reattachment.ConclusionDentists demonstrated that they had adequate knowledge about the tooth fragment technique, although many did not have previous experience with this procedure.

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Lost and found! Tooth fragment reattachment after 8 Mo of trauma

Abstract: Thorough clinical and radiographic evaluation of patient following orofacial trauma is indispensable for a successful outcome, and when the tooth fragment is available in a good condition, then fragment reattachment is the best choice of treatment.

Cited by 2 publications

References 1 publication

Reattachment of Fractured Tooth Fragment by Multidisciplinary Treatment Approach

Reattachment of Fractured Tooth Fragment by Multidisciplinary Treatment Approach

An assessment of Brazilian dentists' knowledge about tooth fragment reattachment: A cross‐sectional study

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