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Rathod P, Mankar N, Nikhade P, Chandak M, Patel A, Ikhar A. Reattachment of Fractured Tooth: A Comprehensive Review. Cureus 2024; 16:e57715. [PMID: 38711713 PMCID: PMC11070882 DOI: 10.7759/cureus.57715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2023] [Accepted: 04/05/2024] [Indexed: 05/08/2024] Open
Abstract
Dental trauma is one of the most prevalent problems encountered in clinical practice. Traumatic injuries involving fractures of the anterior tooth are one of the most common problems among children and adolescents. There is a physical and social impact on patients' quality of life due to traumatic dental injuries (TDIs). Children and adolescents frequently present with a crown fracture that necessitates immediate intervention. Clinicians need to be aware of various treatment modalities for TDIs and have to address these injuries immediately. Due to advances in adhesive technologies, fragment reattachment is the treatment of choice when the fragment is available and well stored. The purpose of this article is to cover various techniques for reattaching fractured fragments and the most current developments in adhesive systems for this purpose.
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Affiliation(s)
- Pratik Rathod
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Nikhil Mankar
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Pradnya Nikhade
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Manoj Chandak
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Aditya Patel
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
| | - Anuja Ikhar
- Conservative Dentistry and Endodontics, Sharad Pawar Dental College & Hospital, Datta Meghe Institute of Higher Education & Research, Wardha, IND
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Patil M, Hegde V, Khan M, Kharbe N, Ghunawat D. Holistic management of complicated crown fracture: A case series. JOURNAL OF CONSERVATIVE DENTISTRY AND ENDODONTICS 2023; 26:719-723. [PMID: 38292735 PMCID: PMC10823977 DOI: 10.4103/jcde.jcde_2_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/01/2023] [Revised: 06/24/2023] [Accepted: 09/23/2023] [Indexed: 02/01/2024]
Abstract
Coronal fractures of the anterior teeth give an agonizing experience for a young individual due to the physical disfigurement, and the psychological impact that is imposed on them. One of the options for managing complicated/uncomplicated crown fractures when the tooth fragment is available, and there is no or minimal violation of the biological width is the rebonding of the fractured segment. This treatment approach is promising, providing good and long-lasting esthetics as it helps in maintaining the tooth's original anatomic form, hue, and surface texture. This article describes three case reports of successful reattachment of fractured tooth fragments. Following the root canal treatment procedures, prefabricated posts were cemented as intraradicular splint to reattach the fractured segments.
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Affiliation(s)
- Madhuri Patil
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Vivek Hegde
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Mehrosh Khan
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Nain Kharbe
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
| | - Dhananjay Ghunawat
- Department of Conservative Dentistry and Endodontics, M. A. Rangoonwala College of Dental Sciences and Research Centre, Pune, Maharashtra, India
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Lakshmaiah D, Sr V, Ilango S, Sakthi N, Ps S. Management of Complex Crown Fractures: A Case Series. Cureus 2023; 15:e37907. [PMID: 37220460 PMCID: PMC10200002 DOI: 10.7759/cureus.37907] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/18/2023] [Indexed: 05/25/2023] Open
Abstract
Maxillary teeth are most vulnerable to fracture due to trauma. An effective treatment plan for an anterior teeth fracture not only improves function and appearance but also benefits the patient psychologically. The reattachment of the fragmented tooth is one of the best treatment methods for such condition. It is considered as a better treatment option because it is uncomplicated, aesthetic, and preserves the dental structure. To achieve a positive prognosis, patient cooperation and awareness about the treatment are essential. This article includes three case reports that illustrate the management of complex maxillary anterior teeth fractures wherein the reattachment of the fractured tooth segments was undertaken.
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Affiliation(s)
- Deepika Lakshmaiah
- Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND
| | - Visshnuvardhini Sr
- Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND
| | - Sangita Ilango
- Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND
| | - Nikesh Sakthi
- Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND
| | - Sreelakshmi Ps
- Conservative Dentistry and Endodontics, Chettinad Dental College and Research Institute, Chennai, IND
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Khurana D, Prasad AB, Raisingani D, Srivastava H, Mital P, Somani N. Comparison of Ribbond and Everstick Post in Reinforcing the Re-attached Maxillary Incisors Having Two Oblique Fracture Patterns: An In Vitro Study. Int J Clin Pediatr Dent 2021; 14:689-692. [PMID: 34934284 PMCID: PMC8645633 DOI: 10.5005/jp-journals-10005-2035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Aim and objective This study aims to compare the resistance to fracture in maxillary incisors which were fractured in two different oblique patterns and then were re-attached and reinforced using anatomic fiber-reinforced composite (FRC) post. Materials and methods Sixty extracted and intact human maxillary incisors were obtained and divided into two groups (A and B; n = 30). “Labiopalatal” and “palatolabial” fractures were induced in group A and group B, respectively. These two groups were further subdivided into two subgroups (n = 15). In subgroup I Ribbond fiber (Ribbond Inc., Seattle, WA, USA) and in subgroup II Everstick post (everStick Post™, GC Corporation, Tokyo, Japan) were used. Fractured fragments were re-attached using resin and tested for fracture resistance in universal testing machine. Statistical analysis was done with ANOVA one-way test and post hoc test. Results The labiopalatal fracture pattern of group A showed significantly increased resistance to fracture than the palatolabial fracture pattern of group B in both the subgroups. Similarly, subgroup II with Everstick post exhibited significantly higher fracture resistance than subgroup I with Ribbond in both groups A and B (p value < 0.05). Clinical significance The study simulates a clinical scenario of coronal fracture of a tooth and focuses on the techniques and materials which can be used for successful management of such cases. How to cite this article Khurana D, Prasad AB, Raisingani D, et al. Comparison of Ribbond and Everstick Post in Reinforcing the Re-attached Maxillary Incisors Having Two Oblique Fracture Patterns: An In Vitro Study. Int J Clin Pediatr Dent 2021;14(5):689–692.
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Affiliation(s)
- Deeksha Khurana
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Ashwini B Prasad
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Deepak Raisingani
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Harshit Srivastava
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Prachi Mital
- Department of Conservative Dentistry and Endodontics, Mahatma Gandhi Dental College and Hospital, Jaipur, Rajasthan, India
| | - Namita Somani
- Department of Conservative Dentistry and Endodontics, Darshan Dental College and Hospital, Jaipur, Rajasthan, India
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Khandelwal P, Srinivasan S, Arul B, Natanasabapathy V. Fragment reattachment after complicated crown-root fractures of anterior teeth: A systematic review. Dent Traumatol 2020; 37:37-52. [PMID: 32813931 DOI: 10.1111/edt.12602] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Revised: 08/13/2020] [Accepted: 08/14/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND/AIM Fragment reattachment is a procedure that can immediately restore form and function in crown-root fracture cases and is considered a minimally invasive and cost-effective treatment option. The aim of this systematic review was to analyze the methods used and the outcome of fragment reattachment for complicated crown-root fractures of anterior teeth. MATERIALS AND METHODS Five electronic databases (PubMed, Web of Science, Embase, Scopus, and Google Scholar) were searched for English language articles regarding fragment reattachment after complicated crown-root fractures of anterior teeth. RESULTS Twelve case reports and two case series were selected for this review after applying the inclusion and exclusion criteria. In eleven articles, the fracture line was exposed prior to reattachment. Root canal treatment was performed in all cases except one, where conservative pulp treatment was done prior to reattachment. A post was used as part of the restoration in 85% of the cases. Additional fragment preparation was done in 42% of the cases in the form of beveling and groove formation. Adhesive strategies used to reattach the coronal fragments were total-etch, self-etch, or self-cure adhesive. Intermediate materials used for reattachment were resin cement, glass-ionomer cement, composite and self-adhesive cement. Treatment outcomes were favorable in all the included articles and the follow-up period ranged from three months to seven years. CONCLUSION Fragment reattachment after complicated crown-root fractures of anterior teeth can be considered as a viable treatment option if the clinical conditions are favorable.
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Affiliation(s)
- Priyal Khandelwal
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
| | - Siddharth Srinivasan
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
| | - Buvaneshwari Arul
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
| | - Velmurugan Natanasabapathy
- Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
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Singh TK, Passi D, Aggarwal S, Mohan S, Sharma A, Gupta U. Esthetic management of complicated crown fracture of three permanent maxillary teeth by grout technique -A case report. J Family Med Prim Care 2019; 8:2538-2541. [PMID: 31463292 PMCID: PMC6691403 DOI: 10.4103/jfmpc.jfmpc_425_19] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 06/06/2019] [Accepted: 06/24/2019] [Indexed: 11/05/2022] Open
Abstract
Dental injury particularly anterior teeth trauma has severe effects on the social and mental prosperity of a patient hence requiring useful and esthetic repair at the most urgent. Customarily, fracture anterior teeth have been reestablished with composite tars; in any case, they have the essential disservice of shading bungle and variable wear. On the off chance that the tooth's fracture section is accessible and sound, reclamation of the tooth utilizing its own particular piece has likewise been recommended. Reattachment of tooth part ought to be considered and is a practical other option to customary methodologies as a result of effortlessness, unmatched characteristic style, and preservation of tooth structure. It can give great and dependable style in light of the fact that the tooth's unique anatomic shape, shading, and surface are kept up. Patient collaboration and comprehension of the restrictions of the treatment is of most extreme significance for the good result. This case report accentuation the inventive strategy of overseeing crown root break treated effectively utilizing tooth part reattachment.
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Affiliation(s)
- Tarun Kumar Singh
- Department of Conservative Dentistry and Endodontics, Inderprastha Dental College and Hospital, Ghaziabad, Uttar Pradesh, India
| | - Deepak Passi
- Subdivisional Hospital, Bundu, Ranchi, Jharkhand, India
| | - Sumit Aggarwal
- Department of Prosthodontics, Subharti Dental College, SVSU, Meerut, Uttar Pradesh, India
| | - Stuti Mohan
- Department of Orthodontics, Subharti Dental College and Hospital, Meerut, Uttar Pradesh, India
| | - Abhimanyu Sharma
- Department of Oral and Maxillofacial Surgery, E.S.I.C. Dental College and Hospital, Rohini, Delhi, India
| | - Utkarsh Gupta
- Department of Public Health Dentistry, Post Graduate Institute of Dental Sciences, Rohtak, Haryana, India
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Scholtes E, Suttorp CM, Loomans BA, Van Elsas P, Schols JG. Combined orthodontic, surgical, and restorative approach to treat a complicated crown-root fracture in a maxillary central incisor. Am J Orthod Dentofacial Orthop 2018; 154:570-582. [PMID: 30268267 DOI: 10.1016/j.ajodo.2017.08.029] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2017] [Revised: 08/01/2017] [Accepted: 08/01/2017] [Indexed: 11/29/2022]
Abstract
This case report shows the treatment of a severe traumatic tooth injury. For the maxillary right central incisor, the trauma was considered a complicated crown-root fracture. The level of the fracture line, the length of the remaining root segment, and the presence and condition of the tooth fragment determined the type of therapy. Traumatized teeth with fractures below the alveolar crest are often considered hopeless. As this report shows, the treatment of a complicated crown-root fracture in the esthetic region can be challenging. Orthodontic extrusion and crown-length surgery were performed to bring the fracture line above the alveolar bone crest. A multidisciplinary approach was required for complete rehabilitation of the traumatized maxillary incisor. Suggestions are made to improve treatment planning of complicated crown-root fractures.
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Affiliation(s)
- Eva Scholtes
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Christiaan M Suttorp
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Bas A Loomans
- Department of Dentistry, Radboud University Medical Center, Nijmegen, The Netherlands
| | - Pieter Van Elsas
- Private practice, Bloemendaal, The Netherlands; Department of Oral Implantology and Prosthetic Dentistry, Academic Center for Dentistry, Amsterdam, The Netherlands
| | - Jan G Schols
- Department of Orthodontics and Craniofacial Biology, Radboud University Medical Center, Nijmegen, The Netherlands.
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Rauber GB, Taguchi C, Padilha A, de Re Silveira RC, Bernardon JK, Baratieri LN. Color Repair of a Composite Resin Restoration. Oper Dent 2018; 44:1-7. [PMID: 29953336 DOI: 10.2341/17-079-t] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Fractured teeth with both enamel and dentin involvement might be treated with adhesive composite resin restorations. In cases where a perfect color match between the composite restoration and the remaining tooth structure is not achieved, a repair might be carried out to correct the color of restoration. This procedure avoids the restoration replacement, preserving tooth structure without compromising the esthetic outcome.
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Martins AV, Albuquerque RC, Lanza LD, Vilaça ÊL, Silva N, Moreira AN, da Silveira RR. Conservative Treatment of a Complicated Crown-root Fracture Using Adhesive Fragment Reattachment and Composite Resin Restoration: Two Year Follow-up. Oper Dent 2018; 43:E102-E109. [PMID: 29676971 DOI: 10.2341/15-219-s] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Crown-root fracture is one of the most challenging fracture types in the dental traumatology literature. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture of the maxillary left central incisor, requiring endodontic treatment, a fiber-reinforced post was used to create a central support stump to restore the dental morphology. This report describes the clinical procedures involved in the treatment. After two years of follow-up, the clinical and radiographic findings demonstrated that the adopted clinical protocol was successful and yielded healthy periodontal tissues with no signs of periradicular pathology.
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Tooth Reattachment and Palatal Veneer on a Multidisciplinary Approach of Crown Fractures in Upper Central Incisors. Case Rep Dent 2017; 2017:4702635. [PMID: 29082046 PMCID: PMC5634575 DOI: 10.1155/2017/4702635] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Accepted: 07/27/2017] [Indexed: 11/18/2022] Open
Abstract
Dental trauma is more common in young patients and its sequelae may have great impact on the esthetics, functions, and phonetics. This paper reports a case of trauma in both central incisors in a young 17-year-old patient who was treated using adhesive tooth fragment reattachment on tooth 2.1 and a palatal indirect composite veneer on tooth 1.1. Regarding the available literature and fracture extension, the treatment approach proposed for this case provided good functional and esthetic outcomes. Clinical and radiographic results after 1 year were successful. This case demonstrates the importance of establishing a multidisciplinary approach for successful dental trauma management.
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Mahesh Patni P, Jain P, Jain Patni M. A Conservative Approach to the Management of a Dental Trauma for Immediate Natural Esthetics. ARCHIVES OF TRAUMA RESEARCH 2016; 5:e29042. [PMID: 27679787 PMCID: PMC5035439 DOI: 10.5812/atr.29042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2015] [Revised: 06/09/2015] [Accepted: 06/24/2015] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The fracture of front teeth is one of the routine presentations of traumatic injuries. The treatment of a fractured tooth involving the pulp includes root canal therapy and post placement followed by core build-up or by the extraction of the fractured tooth if it is not restorable. CASE PRESENTATION We report a case of an adult male who had traumatized both his maxillary central incisors following a blow experienced during domestic violence. He had lost a fractured fragment of the right central incisor, while the left incisor had complicated fractures with fragments retained attached to the soft tissue. Following radiovisiography (RVG), both incisors were conservatively treated in a single visit by reattachment and post and core techniques. CONCLUSIONS The treatment reported for reattachment of the tooth fractures and post and core techniques are reasonably easy while providing immediate and lasting results in patients' regaining of social confidence and functionality.
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Affiliation(s)
- Pallav Mahesh Patni
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Sri Aurobindo Institute of Medical Sciences and Hospital (SAIMS), Devi Ahilya University, Indore, Madhya-Pradesh, India
- Corresponding author: Pallav Mahesh Patni, Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Sri Aurobindo Institute of Medical Sciences and Hospital (SAIMS), Devi Ahilya University, Indore, Madhya-Pradesh, India. Tel: +91-9993060025, E-mail:
| | - Pradeep Jain
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo Institute of Medical Sciences and Hospital, Indore, Madhya-Pradesh, India
| | - Mona Jain Patni
- Cosmetic dentistry, Dr Mahesh Chandra Patni memorial dental clinic, Indore, Madhya-Pradesh, India
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