Adhesive Reattachment Research Articles

A novel insertion design of fiber materials for the adhesive reattachment in vertically fractured teeth.

ObjectiveThis ex vivo study aimed to evaluate the strengthening effect of different ferrule and reattachment designs with fiber and adhesive materials on vertically fractured teeth.MethodsNinety extracted single-root premolars were instrumented and divided into nine groups (two control groups and seven experimental groups; n = 10). The negative control (NC) group comprised of intact teeth, while the positive control (PC) group comprised of root canal-treated teeth. The roots of the teeth in the experimental groups were vertically fractured into two equal fragments. The fragments were reattached with one of the followings: 4-methacryloxyethyl trimellitate anhydride/methacrylate-tri-n-butyl borane (4-META/MMA-TBB) resin, 4-META/MMA-TBB + quartz fiber post, 4-META/MMA-TBB + glass fiber bundles, 4-META/MMA-TBB + quartz fiber post + 1 mm ferrule, 4-META/MMA-TBB + glass fiber bundles + 1 mm ferrule, 4-META/MMA-TBB + quartz fiber post + 2 mm ferrule, and 4-META/MMA-TBB + glass fiber bundles + 2 mm ferrule. The core build-ups were made with composite resin. The specimens were subjected to compressive loading until failure occurred. Mean load necessary to fracture each sample and the fracture types of these samples were recorded.ResultsThe highest mean fracture load was recorded in the NC group (1,036.7 N), which was not significantly higher than the PC group (989.66 N) (p > 0.05). The roots reattached with quartz fiber post demonstrated significantly less fracture strength (871.9 N) as compared to the other test and control groups (p < 0.05). There was no significant difference between the PC group and reattached fragments with different ferrule designs in terms of fracture resistance (p > 0.05).ConclusionsThe customized fiber bundles may be more suitable for reattachment of vertically fractured teeth than the rigid fiber posts. For reattachment procedures, the ferrule design may be preferred to increase the fracture strength of vertically fractured teeth.

Management of complicated crown root fracture using pizeo surgery, fiber post and fragment reattachment: A case report

A common type of fracture involving tooth is complicated crown root fracture of anterior teeth. The reattachment of the coronal fragment to the remaining tooth will provide better and long-lasting aesthetics, improved function and a positive psychological reaction. It is a simple and less difficult procedure if the original tooth fragments are retained after fracture. This paper reports about a case of complicated crown root fracture that was treated successfully using broken fragment adhesive reattachment and post placement.

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

When patients have saved tooth fragments in case of crown fractures, reattachment is considered as the treatment of choice. With respect to the need to provide clinical outcome data regarding adhesively reattached fragments, the aim of this practice-based clinical study was to evaluate the survival of reattached fragments after crown fractures in permanent teeth. Records from patients treated at Ludwig-Maximilians-University between 2004 and 2017 were analyzed to collect clinical and radiographic data regarding the management of fractured teeth that were treated with an adhesive reattachment. The study population consisted of 109 patients comprising 135 reattached fragments divided into uncomplicated (N=84/135) and complicated (N=51/135) crown fractures. The Kaplan-Meier Survival estimator was used to estimate the survival probability of primary reattachments after uncomplicated and complicated crown fractures. Overall, 77.4% (N=65/84) and 66.6% (N=34/51) of the primarily applied reattachments in uncomplicated fractured teeth and complicated fractured teeth, respectively, survived over the period of observation. The survival rate for adhesive reattachment in all teeth was 84.4% (N=114/135) after 608.2days (±983.1days). The data further suggest that in the case of a detachment, repeated reattachment might be a valuable restoration strategy. Adhesive reattachment is a good first-choice treatment option in cases of crown fractures when the fractured fragment has been saved.

Minimally invasive management of a dental trauma: Two years of follow-up in Biodentine-induced maturogenesis

Dental trauma is an ordinary complication in childhood period. Most of the traumas are crown fractures in the permanent dentition. Complicated crown fracture, introduced as a crown fracture accompanied by pulp exposure. Treatment plan and long-term prognosis could be modified by different factors, such as fracture line position, root development, alveolar bone fracture, and occlusion. In traumatized open apices teeth, apexogenesis can be occurred after traumatic exposure by vital pulp therapy procedures such as pulp capping, partial or complete pulpotomy in pertinent to the size of the exposure. In this complicated crown fracture case, cervical pulpotomy was performed with a silicate-based biomaterial. Patients smile and esthetic demands play an important role in the perception and judgment that people have of others appearance and character. To reconstruct the patient's smile line, the adhesive reattachment of the coronal fractured fragment to the remaining tooth structure was planned. Reattachment could be suggested as an ideal treatment procedure for crown fracture cases. This technique could be applied to achieve excellent esthetic outcomes and normal function. At 1-year follow-up visit, the patient had no complaints of pain. The clinical and radiographic examination showed a stable reattachment and good periodontal health. Apex diameter was decreased significantly. Physiological root-end closure was obvious. Secondary dentin and calcific barrier were also observed on the radiograph below the Biodentine layer.

Re-attachment of Tooth Fragment―A Case Report

This case report describes and analyses a tooth fragment reattachment technique used to resolve crown fractures of the anterior teeth. This treatment allows a conservative approach to traumatic coronal lesions offering a better possibility of maintaining aesthetics and function. The adhesive reattachment is a simple system to achieve good aesthetic and functional results. When tooth and fragment margins are intact, the reattachment technique without any tooth preparation is a simple and predictable procedure.

Management of Ellis Class II Fracture by Fragment attachment: A Clinical Report

Coronal fracture of permanent dentition is the most frequent type of dental injury. The immediate agglutination of original fractured tooth is a good alternative option in the scope of emergency treatment for remaining esthetical and functional problems. This article reports the management of Ellis Class II Fractured tooth using adhesive reattachment of the same fragment.

Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports.

Trauma of anterior teeth is quite a common occurrence in both children and adults. Various degrees of trauma leading to fracture may affect teeth in different ways depending on the age of the patient and extent of fracture and other factors that will be discussed. Guidelines have been given as to how each of these situations should be treated. In the past, often more aggressive restorations were performed to restore fractured teeth. However improved and more efficient adhesion may affect the type of treatment we decide to carry out, leading to more conservative therapies through an increased preservation of tooth structures.

Adhesive Reattachment of Maxillary Right Central Incisor fragment: A Conservative Approach

Adhesive Reattachment of Maxillary Right Central Incisor fragment: A Conservative Approach

Immediate management of complicated crown fracture: A case series

Trauma to anterior tooth is prevalent among adolescents. An immediate management of complicated crown fracture is reattachment of fragments or biologic tooth restoration. The present case series elucidate the fracture reattachment using conventional preparation design for resin restoration. The adhesive reattachment provides an original tooth color and contour that aids in rehabilitation of traumatized tooth. The present case series depicts that fracture reattachment is a viable, conservative and esthetic alternative for treatment of complicated crown fracture. The long-term prognosis is still obscure, but it is an immediate technique of esthetic rehabilitation.

Adhesive crown fragment reattachment in anterior-fractured tooth

Crown fractures of the permanent dentition comprise the most frequent form of traumatic dental injuries and often require an immediate procedure for their treatment. Reattachment of the fractured fragment to its original position is an optimal approach to esthetic and functional rehabilitation. This paper reports the case of a permanent maxillary central incisor with crown fracture treated by adhesive fragment reattachment.

Reorienting Smile: A Biological Approach

ABSTRACT Tooth fragment reattachment offers a conservative, esthetic, and cost-effective restorative option that has been shown to be an acceptable alternative to the restoration of the fractured tooth with resin-based composite or full-coverage crown. Reattachment of intact natural tooth fragment is advantageous compared to crowns since color, morphology, translucency can be retained and treatment is immediate. This article describes a technique for the adhesive reattachment of an intentionally sliced central incisor with the goal of maximum esthetics in minimum time. How to cite this article Yadav K, Rathee M. Reorienting Smile: A Biological Approach. World J Dent 2014;5(4):240-242.

Hierarchical Analysis of the Release Step in a Nanofabrication Process Using an Adhesion/Atomistic Friction Surface Interaction Model

Finite element analysis techniques were used to study the release step in a nanofabrication process. These calculations employed a novel adhesion/atomistic friction surface interaction model to define how the glassy polymer interacts with the hard mold. This model is applicable to solids that interact via relatively weak, van der Waals forces and is applicable to intentionally weakened interfaces (e.g., when a mold release is used). The goal of this effort is to simulate the entire separation process. The release step was studied by performing unit cell calculations for a pattern composed of identical, parallel channels. The interface between the mold and the glassy polymer did not unzip in a continuous, quasi-static manner in these simulations. Instead, there was a complex failure sequence that included multiple dynamic separations and arrest events as well as adhesive reattachment. The sensitivity of the release process to interface and bulk material properties, polymer shrinkage, and feature geometry was then quantified by examining variations from a baseline configuration. Finally, the feasibility of a hierarchical analysis that represents the nanometer-scale pattern by a pattern traction–separation (T–U) relationship, which is defined by a unit cell analysis, was demonstrated.

Management of complicated crown fracture by reattachment technique: A clinical report

Anterior crown fractures area common form of traumatic dental injuries that mainly affect the maxillary central incisors, in children and teenagers. Since the development of the adhesive dentistry, many case reports of crown fractures restored using adhesive reattachment techniques were published. This article reports management of one coronal tooth fracture case that were successfully treated using tooth fragment reattachment on palatal aspect especially along with the use of adhesive resins for coronal build up.

Crown reattachment with complicated chisel-type fracture using fiber-reinforced post

Maxillary incisors and specifically their crowns are the most common teeth involved in dental trauma because of their exposed position in the dental arch. Traumatized anterior teeth require quick functional and esthetic repair. In the case of a complex crown fracture, with the necessity of endodontic treatment, fiber-reinforced posts (FRC) were used to create a central support stump to restore the dental morphology. A 24-year-old male patient came to the dental clinic with dental injury to the maxillary left central incisor with a chisel-type fracture that extended subgingivally with a widely open pulp chamber. The patient reported a sports injury had occurred 1day before. Provisional reposition of the crown was completed using a composite splint and after that endodontic treatment has been performed. Two days later, a fiber-reinforced composite resin post was placed into the canal and adhesive reattachment of the fragment also completed. The tooth was prepared for a composite resin veneer in the gingival third of the vestibular surface because of a visible fracture line. The combined use of a fiber-reinforced composite resin post and the original crown fragment is a simple and efficient procedure for the treatment of traumatized anterior teeth that appears to offer pleasing esthetic and functional results that is less invasive than conventional prosthodontic treatment.

Tooth fragment reattachment technique on a pluri traumatized tooth

This case report describes and analyses a tooth fragment reattachment technique used to resolve crown fractures of the anterior teeth. This treatment allows a conservative approach to traumatic coronal lesions offering a better possibility of maintaining aesthetics and function. The authors have illustrated here a clinical case of a fractured incisor. This case is characterized by several traumas on the same tooth that required different therapeutic solutions. We used an easy and ultra-conservative technique without any tooth preparation in the first and third traumatic injuries. In the second trauma, a direct restoration of the fractured tooth was performed. The adhesive reattachment is a simple system to achieve good aesthetic and functional results.Our clinical experiences demonstrated that, when tooth and fragment margins are intact, the reattachment technique without any tooth preparation is a simple and predictable procedure. Quality of adhesion is shown by the retention of the reattached fragment in the second trauma that caused only partial enamel fractures.

Tooth Fragment Reattachment: An Esthetic, Biological Restoration

ABSTRACT Coronal fractures of the anterior teeth are a common form of dental trauma. If the original tooth fragment is retained following fracture, reattachment of the fractured fragment to the remaining tooth can provide better and long-lasting esthetics, improved function, a positive psychological response and is a faster and less complicated procedure. This paper reports on two coronal tooth fracture cases that were successfully treated using adhesive reattachment technique. How to cite this article Kararia N, Chaudhary A, Kararia V. Tooth Fragment Reattachment: An Esthetic, Biological Restoration. World J Dent 2012;3(1):91-94.

Treatment of oblique crown fractures in maxillary premolars using adhesive tooth fragment reattachment: 19 years of follow up

This report presents an oblique crown fracture in the maxillary right premolars of an adolescent because of fall, which was treated using adhesive tooth fragment reattachment. The impact of the mandible base to the floor caused minor fractures in multiple teeth, severe fracture of teeth 14 and 15, and condylar fractures. The fragments of teeth 43, 45, 46, and 16 were lost at the site of accident. The condylar fractures were managed with a non-surgical conservative approach combining mandibular immobilization and stabilization of temporomandibular joints with maxillomandibular fixation using acrylic splints. After 3 months, the interocclusal splints were removed, and the patient was referred for dental care. Teeth 14 and 15 presented complicated oblique crown fractures causing separation of the buccal and palatal fragments, which were in place, attached to the gingival tissue. Tooth 15 presented chronic hyperplastic pulpits. The fragments were banded for stabilization during the endodontic treatment, and the bands served as matrix for adhesive tooth fragment reattachment. The other fractured teeth received direct composite resin restorations. After 8 years, tooth 16 developed pulp necrosis and was treated endodontically and restored with composite resin. Clinical and radiographic examination 19 years after trauma showed a good adaptation of the tooth fragment/composite resin restoration, good periodontal health, no signs of root resorption, and intact lamina dura.

Multidisciplinary approach of complicated crown fractures of both superior central incisors: a case report

Anterior crown fractures are a common form of traumatic dental injuries that mainly affect the maxillary central incisors, in children and teenagers. Since the development of the adhesive dentistry, many case reports of crown fractures restored using adhesive reattachment techniques were published. Complex cases, in which more than one tooth are involved, with fractures differing from each other, require specific treatment of each fracture, taking different advantages of the different remaining tooth structures. This case report describes a patient with dissimilar crown fractures of both superior central incisors. After the endodontic treatment, the patient was treated using the combination of several techniques: periodontal surgery (crown lengthening with apically repositioned flap and osseous resective surgery), adhesive technique and cast restoration plus esthetic crown. The periodontal procedure re-created the biologic width and proved to be a reliable adjunctive procedure to the adhesive and the prosthetic techniques used.

Adhesive fragment reattachment after orthodontic extrusion: a case report

In the treatment of crown fractures, adhesive fragment reattachment provides a good alternative to other restorative techniques, offering several advantages. The present paper reports a case in which the treatment of a cervical crown fracture was accomplished by reattaching the tooth fragment with a flowable resin composite. Orthodontic root extrusion was performed with a modified Hawley appliance prior to fragment reattachment. The clinical and radiographic results after 2.5 years were successful.