Fragment Reattachment: A 4-Year Case Report of Uncomplicated Dental Fractures.

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Khalid S Almulhim, Luana Oliveira-Haas
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引用次数: 0

Abstract

Two fractured maxillary central incisors were restored via the crown fragment reattachment technique with adhesive systems and composite resin material. A long-term successful outcome was achieved after 4 years of follow-up. The patient presented with fractured maxillary central incisors, and a comprehensive intraoral and radiographic examination revealed that both teeth had extended crown fractures with no pulpal exposure (Class II, Ellis and Davey). The tooth fragments were thoroughly cleaned and inspected before being repositioned. Both fragments were in excellent condition with almost no pieces missing. Therefore, the proposed treatment was fragment reattachment. After verifying the repositioning and adaptation of the fractured fragments, a flowable composite was used to perform the reattachment procedure under rubber dam isolation. With modern dental adhesives, the reattachment of tooth fragments in good condition is considered a more conservative option for restoring tooth morphology, esthetics, and function. Although one tooth showed signs of irreversible pulpitis and required root canal treatment 2 weeks after the restoration, the clinical and radiographic evaluations at the 4-year follow-up visits confirmed the success of the restorative treatment. The restorations showed good functional and esthetic outcomes after 4 years of follow-up.

碎片再附着术:一例4年无并发症的牙齿骨折病例报告。
采用粘接系统和复合树脂材料的冠片复位技术,修复了两颗断裂的上颌中切牙。经过4年的随访,取得了长期的成功。患者表现为上颌中切牙骨折,综合口腔内和放射学检查显示,两颗牙齿都有延伸的牙冠骨折,没有牙髓暴露(II级,Ellis和Davey)。在重新定位之前,对牙齿碎片进行了彻底清洁和检查。两个碎片都完好无损,几乎没有碎片丢失。因此,建议的治疗方法是碎片再附着。在验证了断裂碎片的重新定位和适应后,使用可流动复合材料在橡胶坝隔离下进行再附着程序。使用现代牙科粘合剂,在良好状态下重新附着牙齿碎片被认为是恢复牙齿形态、美学和功能的更保守的选择。尽管一颗牙齿出现了不可逆牙髓炎的迹象,需要在修复后2周进行根管治疗,但4年随访的临床和放射学评估证实了修复治疗的成功。经过4年的随访,修复体显示出良好的功能和美观效果。
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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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