Re-attachment of a Fractured Maxillary Central Incisor: A Case with Two Years Follow-up
Iranian Endodontic Journal,
Vol. 16 No. 2 (2021),
16 March 2021
Crown re-attachment is the most conservative treatment that can be used to restore fractured tooth, even in an emergency situation. The re-attachment maintains original contour and incisal translucency of the tooth, and reduces the chair time and cost. In case of crown fracture with pin-point pulp exposure, irritation to the pulp should be minimised and consideration must be taken for pre-treatment pulpal status, choice of pulp capping material, choice of bonding system and treatment sequence during crown re-attachment procedures. This article reported a crown fracture case with pin-point pulp exposure that was treated using crown re-attachment with direct pulp capping. At two-year follow-up, the tooth was asymptomatic, remained functional, vital, and the appearance of restoration was acceptable with no colour change to the crown.
- Dental Pulp Capping; Dental Pulp Exposure; Dental Trauma; Permanent Tooth
How to Cite
Andreasen FM, Noren JG, Andreasen JO, et al. Long-term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int. 1995;26(10):669-681.
Andreasen FM., Daugaard-Jensen J, Munksgaard EC. Reinforcement of bonded crown fractures with porcelain laminate veneers. Endod Dent Traumatol. 1991;7:78–83.
Andreasen JO, Andreasen FM, eds. 3rd ed. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Copenhagen, Denmark: Munksgaard. 1944;219-256.
Badami AA, Dunne SM, Scheer B. An in vitro investigation in to the shear bond strengths of two dentine-bonding agents used in the reattachment of incisal edge fragments. Endod Dent Traumatol. 1995;11:129-35.
Baratieri LN, Monteiro Junior S, de Albuquerque FM, et al. Reattachment of a tooth fragment with a “new” adhesive system: a case report. Quintessence Int. 1994;25(2):91-96.
Baratieri LN, Monticro S Jr, de Albuqueuque FM, Vieira LC, de Andrada MA, de Melo Filho JC. Reattachment of a tooth fragment with a 'new' adhesive system: A case report. Quintessence Int. 1994;25:91-6.
Baume LJ, HolzJ. Long-term clinical assessment of direct pulp capping. Int Dent J. 1981;31:251-60.
Burke FJ, Watts DC. Weight loss of four calcium hydroxide-based materials following a phosphoric acid etching and washing cycle. J Dent. 1986;14:226–227.
Cavalleri G, Zerman N. Traumatic crown fractures in permanent incisors with immature roots: a follow-up study. Endod Dent Traumatol. 199;11(6):294-296.
Cengiz SB, Kocadereli I, Gungor HC, Altay N. Adhesive fragment reattachment after orthodontic extrusion: a case report. Dent Traumatol. 2005;21:60–4.
Cox CF, Bergenholtz G, Heys DR, Syed SA, Fitzgerald M, Heys RJ. Pulp capping of dental pulp mechanically exposed to oral microflora: a 1-2 year observation of wound healing in the monkey. J Oral PathoI. 1985;14:156-68.
Davari AR, Sadeghi M. Influence of different bonding agents and composite resins on fracture resistance of reattached incisal tooth fragment. J Dent Shiraz Univ Med Sc. 2004;15(1): 6-14.
Dean JA, Avery DR, Swartz ML. Attachment of anterior tooth fragments. Pediatr Dent. 1986;8:139-43
Demarco FF, Fay R-M, Pinzon LM, Powers JM. Fracture resistance of re-attached coronal fragments-influence of different adhesive materials and bevel preparation. Dent Traumatol,. 2004;20:157–63.
Farik B, Musksgaard EC, Andreasen JO. Impact strength of teeth restored by fragment-bonding. Endod Dent Traumatol. 2000;16:151-3.
Fuks AB, Bielak S, Chosak A. Clinical and radiographic assessment of direct pulp capping and pulpotomy in young permanent teeth. Pediatr Dent. 1982;4:240-4.
Granath L. Pulp capping materials. In: Smith DC, Williams DF. Eds. Biocompatibility of dental materials, Vol. II. Boca Raton, FL: CRC Press Inc. 1982;253-67.
H. M. Yoo, T. S. Oh, and P. N. R. Pereira. Effect of Saliva Contamination on the Microshear Bond Strength of One-step Self-etching Adhesive Systems to Dentin. Operative Dentistry. 2006;Vol. 31, No. 1, pp. 127-134.
Kakehashi S, Stanley HR, Fitzgerald RJ. The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats. Oral Surg Oral Med Oral Pathol. 1965;20:340 –9.
Kozlowska I. Pokrycie bezposrednie miazgi preparatem krajowej produkeji. Czas Stomat. 1960;13:375-88.
Lehl G, Luthra R. Reattachment of fractured fragments of maxillary central incisors: Report of a case. J Indian Soc Pedod Prev Dent. 2004;22:54-5.
Mejare I, Hasselgren G, Hammarstrom LE. Effect of formaldehyde-containing drugs on human dental pulp evaluated by enzyme histochemical technique. Scand J Dent Res. 1976;84:29-36.
Minhas G, Patel B. Traumatic Injuries. Endodontic Treatment, Retreatment, and Surgery. Pp.353-388.
Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol. 2002;18(3):103-115.
Olsburgh S, Krejci Ivo. Pulp response to traumatic crown fractures. Endodontic Topics. 2003;5:26-40.
Pameijer CH, Stanley HR. The disastrous effects of the "total etch" technique in vital pulp capping in primates. Am J Dent. 1998;11:S45–S54.
Ravn JJ. Follow-up study of permanent incisors with complicated crown fractures after acute trauma. Scand J Dent Res. 1982;90:363-72.
Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent. 2004;29(2):226-233.
Robertson A, Andreasen FM, Andreasen JO, Noren JG. Long-term prognosis of the crown fractures: the effect of stage of root development and associated luxation injury. Int J Paediatric Dent. 2004;10:191-9.
Schroder U. Reaction of human dental pulp to experimental pulpotomy and capping with calcium hydroxide. Odont Revy. 1973;24(Suppl 25):1-97.
Simonsen RJ. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc. 1982;105: 646–48.
Taguchi CMC, Bernardon JK, Zimmermann G, Baratieri LN. Tooth fragment reattachment: a case report. Operative Dentistry. 2015;40-2, 000-000.
Wiegand A, Rodig T, Attin T. [Treatment of crown fractured incisors: reattachment instead of restoration?]. Schweiz Monatsschr Zahnmed. 2005;115(12):1172-1181.
Yilmaz Y, Zehir C, Eyuboglu O, Belduz N. Evaluation of success in the reattachment of coronal fractures. Dent Traumatol. 2008;24:151-8.
Yu CY, Abbott PV. Responses of the pulp, periradicular and soft tissues following trauma to the permanent teeth. Australian Dental Journal. 2016;61(1 Suppl) 39-58
Zander HA. Pulp healing. J Dent Res. 1939;28:97-1
- Abstract Viewed: 28 times
- PDF Downloaded: 33 times