J Dent Rehabil Appl Sci.  2019 Jun;35(2):105-112. 10.14368/jdras.2019.35.2.105.

Conservative and esthetic approach in crown fracture of maxillay anterior tooth: tooth fragment reattachment

• Jung KH
• Kwon EY
• Kim SY
• Jeon HM
• Son SA
• Park JK

• KMID: 2451758
• DOI: http://doi.org/10.14368/jdras.2019.35.2.105

Abstract

Crown fractures are the most frequent traumatic injuries to permanent teeth and mainly involve the maxillary incisors due to their exposed position in the dental arch. One option for managing crown fractures, when the tooth fragment is present and in good condition, is reattachment of the fragment to its original position. This paper reports on three crown fracture cases in which successful esthetic and functional results were achieved by reattachment of the tooth fragment.

Keyword

crown fracture; tooth fragment reattachment; esthetic approach; conservative approach

MeSH Terms

Crowns*
Dental Arch
Incisor
Tooth*

Figure

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  Fig. 1 Tooth fragment reattachment of Case A: (A) Preoperative photographic image of the fractured tooth and tooth fragment, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

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  Fig. 2 Postoperative images of Case A: (A) 1 week follow-up. Resin restoration of the fractured incisal edge, (B) Photographic image at 30 months follow-up, (C) Radiographic image at 30 months follow-up.

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  Fig. 3 Tooth fragment reattachment of Case B: (A) Preoperative photographic image of the fractured tooth and tooth fragments, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

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  Fig. 4 Postoperative images of Case B: (A) 12 months follow-up. Discoloration on margin of fracture line, (B) Photographic image at 34 months follow-up, (C) Radiographic image at 34 months follow-up.

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  Fig. 5 Tooth fragment reattachment of Case C: (A) Preoperative photographic image of the fractured tooth and tooth fragment, (B) Immediate postoperative photographic image, (C) Preoperative radiographic image of the fractured tooth.

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  Fig. 6 Postoperative images of Case C: (A) 1 month follow-up, (B) Photographic image at 24 months follow-up, (C) Radiographic image at 24 months follow-up.

Reference

References

1. Durkan RK, Ozel MB, Celik D, Bağiş B. The restoration of a maxillary central incisor fracture with the original crown fragment using a glass fiber-reinforced post:a clinical report. Dent Traumatol. 2008; 24:e71–5. DOI: 10.1111/j.1600-9657.2008.00702.x. PMID: 19021643.

2. Oz IA, Haytac MC, Toroglu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics:a case report with 4-year follow-up. Dent Traumatol. 2006; 22:48–52. DOI: 10.1111/j.1600-9657.2006.00335.x. PMID: 16422760.

3. Baratieri LN, Monteiro S Jr, Caldeira de Andrada MA. Tooth fracture reattachment:case reports. Quintessence Int. 1990; 21:261–70. PMID: 2243926.

4. Buonocore MG. A simple method of increasing the adhesion of acrylic filling materials to enamel surfaces. J Dent Res. 1955; 34:849–53. DOI: 10.1177/00220345550340060801. PMID: 13271655.

5. Taguchi CM, Bernardon JK, Zimmermann G, Baratieri LN. Tooth fragment reattachment:a case report. Oper Dent. 2015; 40:227–34. DOI: 10.2341/14-034-T. PMID: 25535781.

6. El-Askary FS, Ghalab OH, Eldemerdash FH, Ahmed OI, Fouad SA, Nagy MM. Reattachment of a severely traumatized maxillary central incisor, one-year clinical evaluation:a case report. J Adhes Dent. 2006; 8:343–9. PMID: 17080883.

7. Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth:a review of literature regarding techniques and materials. Oper Dent. 2004; 29:226–33. PMID: 15088736.

8. Rajput A, Ataide I, Fernandes M. Uncomplicated crown fracture, complicated crown-root fracture, and horizontal root fracture simultaneously treated in a patient during emergency visit:a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 107:e48–52. DOI: 10.1016/j.tripleo.2008.09.030. PMID: 19138637.

9. Lise DP, Vieira LC, Araujo E, Lopes GC. Tooth fragment reattachment:the natural restoration. Oper Dent. 2012; 37:584–90. DOI: 10.2341/12-063-T. PMID: 22770482.

10. Chosack A, Eidelman E. Rehabilation of a fractured incisor using the patient's natural crown-case report. J Dent Child. 1964; 71:19–21.

11. Reis A, Francci C, Loguercio AD, Carrilho MR, Rodriques Filho LE. Re-attachment of anterior fractured teeth:fracture strength using different techniques. Oper Dent. 2001; 26:287–94. PMID: 11357572.

12. Farik B, Munksgaard EC, Andreasen JO. Impact strength of teeth restored by fragment-bonding. Endod Dent Traumatol. 2000; 16:151–3. DOI: 10.1034/j.1600-9657.2000.016004151.x. PMID: 11202874.

13. Pusman E, Cehreli ZC, Altay N, Unver B, Saracbasi O, Ozgun G. Fracture resistance of tooth fragment reattachment:effects of different preparation techniques and adhesive materials. Dent Traumatol. 2010; 26:9–15. DOI: 10.1111/j.1600-9657.2009.00855.x. PMID: 20089057.

14. Rajput A, Ataide I, Lambor R, Monteiro J, Tar M, Wadhawan N. In vitro study comparing fracture strength recovery of teeth restored with three esthetic bonding materials using different techniques. Eur J Esthet Dent. 2010; 5:398–411. PMID: 21069110.

15. Maia EA, Baratieri LN, de Andrada MA, Monteiro S Jr, de Araujo EM Jr. Tooth fragment reattachment:fundamentals of the technique and two case reports. Quintessence Int. 2003; 34:99–107. PMID: 12666858.

16. Capp CI, Roda MI, Tamaki R, Castanho GM, Camargo MA, de Cara AA. Reattachment of rehydrated dental fragment using two techniques. Dent Traumatol. 2009; 25:95–9. DOI: 10.1111/j.1600-9657.2008.00715.x. PMID: 19208019.

17. Toshiriro K, Rintaro T. Rehydration of crown fragment 1 year after reattachment:a case report. Dent Traumatol. 2005; 21:297–300. DOI: 10.1111/j.1600-9657.2005.00314.x. PMID: 16149926.

18. Farik B, Musksgaard EC, Andreasen JO, Kreiborg S. Drying and rewetting anterior crown fragments prior to bonding. Endod Dent Traumatol. 1999; 15:113–6. DOI: 10.1111/j.1600-9657.1999.tb00766.x. PMID: 10530153.

19. Robertson A, Andreasen FM, Bergenholtz G, Andreasen JO, Munksgaard C. Pulp reactions to restoration of experimentally induced crown fractures. J Dent. 1998; 26:409–16. DOI: 10.1016/S0300-5712(98)00003-7. PMID: 9699430.

20. Li Z, Cao L, Fan M, Xu Q. Direct pulp capping with calcium hydroxide or mineral trioxide aggregate:a meta-analysis. J Endod. 2015; 41:1412–7. DOI: 10.1016/j.joen.2015.04.012. PMID: 25990198.