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- Title
Tooth fragment re-attachment - A case series.
- Authors
Sangal, Aayushi
- Abstract
Introduction: Uncomplicated crown fractures are the most common traumatic dental injuries, ranging from 17% to 48%. The management protocols of cases become an important aspect of pediatric dentistry. Fragment reattachment is the best method to restore uncomplicated crown fractures of permanent teeth, as it serves as an excellent biological restoration that conserves the sound tooth structure, is more esthetic, maintains original translucency and has a rate of incisal wear that matches the original tooth. Case Reports: Case 1: A 13-year-old male reported 24 h posttrauma with Class IV fracture in 21 and Class II fracture in 11. 21 was endodontically treated followed by fragment reattachment. Case 2: A 17-year-old male reported 5 h posttrauma with Class VIII fracture in 22. The tooth was endodontically treated followed by postplacement and fragment reattachment. The post space was also created in the fragment. Case 3: A 12-year-old male reported 24 h posttrauma with Class IV fracture in 22 and Class III fracture in 21. Both teeth were endodontically treated (pulpotomy in 21, RCT and post in 22) followed by fragment reattachment. Clinical Relevance and Unique Features: The material used for reattachment as well the pretreatment conditions that the fragment is subjected to before reattachment play an important role in determining the longevity of this restoration. Rehydration of tooth fragments before re-attachment, preconditioning the dentin and reattachment using dual cured composites can significantly improve the fracture resistance of re-attached tooth fragments.
- Subjects
TOOTH fractures; TEETH; PEDIATRIC dentistry; DENTIN; MECHANICAL wear; PULPOTOMY
- Publication
Journal of the Indian Society of Pedodontics & Preventive Dentistry, 2024, Vol 42, pS268
- ISSN
0970-4388
- Publication type
Article
- DOI
10.4103/jisppd.jisppd_59_24