Use of ribbond and panavia F cement in reattaching fractured tooth fragments of vital maxillary anterior teeth

Abstract

Coronal fractures of the anterior teeth are a common form of dental trauma that mainly affects children and adolescents. One of the options for managing coronal tooth fractures when the tooth fragment is available and there is no or minimal violation of the biological width is the reattachment of the fragment. This article presents a novel technique for reattachment of oblique fractured fragment of vital maxillary central and lateral incisor with pulp exposure. Pulp capping was done using mineral trioxide aggregate. Orthodontic extrusion was done to expose the sub gingival fractured site. Polyethylene fiber (ribbond) and panavia F cement were used to reattach the fractured fragment using an internal groove technique to provide high fracture strength to restored tooth. Ribbond fibers can be used to give additional strength to the reattached tooth fragment so that the tooth obtains fracture resistance equal to an intact tooth.

Restoration of endodontically treated cracked maxillary teeth: A case series

“…The modulus of elasticity is an important parameter in assessment of cements, and selecting a cement with a modulus of elasticity similar to that of dentin maximizes the efficacy of cement and increases the compatibility of cement with dentin. On the other hand, it would result in better stress distribution in the cement and dentin and would prevent stress accumulation in the cement at the crack site …”

“…On the other hand, it would result in better stress distribution in the cement and dentin and would prevent stress accumulation in the cement at the crack site. 8 Evidence shows that presence of cracks in the pulp chamber floor would significantly affect the prognosis of the tooth. Presence of cracks in the pulpal floor and their extension to areas lower than the alveolar bone crest would deteriorate the prognosis (from poor to hopeless) and may necessitate tooth extraction.…”

Fragment Reattachment -A Simple Technique to Restore Coronal Fracture

“…This allows for conservative, simple and esthetic treatment option [4,9]. However, the availability of the fractured fragment is not the only indicator for reattachment treatment with good prognosis [10]. Many factors will affect the success of reattachment.…”

“…Various clinicians have used a different bevel designs, chamfers, dentinal and enamel grooves for the reattachment of tooth fragments [10]. The technique used in this case was a reasonable simple maintaining a complete dry field with…”

Gingival-derived mesenchymal stem cells: An endless resource for regenerative dentistry

“…New directions for biomaterials research in dentistry is focused mainly on two different aspects. The first field of investigation involves the use of existing technology, such as conventional dental materials with the use Polyethylene fiber (ribbond) and Panavia F cement to give additional strength to the reattached tooth fragment of vital maxillary anterior teeth and obtaining fracture resistance equal to an intact tooth[ 1 ]. This involves machineries that use the ER:Yag laser, which is a more conservative alternative to conventional acid-etching for aesthetic brackets[ 2 ].…”