Treatment Modalities of Uncomplicated Crown Fracture in Anterior Maxillary Permanent Teeth: A Systematic Review.

IF 3.2 3区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Paulina, Pankaj Dhawan, Neha Jain
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引用次数: 0

Abstract

Aim: Several treatment modalities have been used to restore crown fractures in case of uncomplicated crown fractures. Although many treatment modalities have been reported, there is no consensus on which one has the best results in terms of success and durability. This systematic review of treatment modalities in uncomplicated crown fractures aims to provide the most common and successful treatment modality for each patient's unique needs, balancing conservation, aesthetics, and long-term durability.

Materials and methods: Three electronic databases (PubMed, Scopus, and Google Scholar) were searched for articles regarding treatment modalities in uncomplicated crown fractures in anterior maxillary teeth.

Results: Following the application of the inclusion and exclusion criteria, 10 case reports, four case series, and two retrospective studies were selected for the review. These studies reported on fragment reattachment, direct composite resin, and veneers for the management of uncomplicated crown fractures. Fragment reattachment was the most preferred treatment modality, with milk, water, or sterile saline used as storage mediums. Direct composite restoration was preferred for missing or bad-shaped fragments or longevity. Veneers were given for aesthetic consideration and fracture resistance when the crown structure was majorly affected by the fracture. Fragment reattachment was favored in 63% of the articles included in the review followed by direct composite restoration in 26% of the articles. Venners were used in about 11% of the articles. Composites depicted a higher survival rate and a better outcome than fragment reattachment. Follow-up periods ranged from 1 week to 4 years, and all articles successfully re-established function and aesthetics, except for one tooth that required root canal treatment.

Conclusion: Fragment reattachment, direct composite restoration, and veneers are successful treatment modalities in uncomplicated crown fractures of anterior teeth. The choice of treatment depends on various factors like availability of fragments, age, and financial condition of the patient.

Trial registration: PROSPERO Registration ID: CRD42020153091.

上颌前恒牙无并发症牙冠折断的治疗方法:系统综述。
目的:对于无并发症的牙冠骨折,有几种治疗方法可用于修复牙冠骨折。虽然已有许多治疗方法的报道,但对于哪种方法在成功率和耐久性方面效果最好,还没有达成共识。这篇关于无并发症牙冠骨折治疗方法的系统性综述旨在为每位患者的独特需求提供最常见、最成功的治疗方法,同时兼顾保护、美观和长期耐久性:在三个电子数据库(PubMed、Scopus 和 Google Scholar)中搜索有关上颌前牙无并发症牙冠折裂治疗方法的文章:根据纳入和排除标准,共筛选出 10 篇病例报告、4 篇系列病例和 2 篇回顾性研究。这些研究报告了治疗无并发症牙冠折裂的残片再接、直接复合树脂和贴面。碎片再接是最受欢迎的治疗方式,使用牛奶、水或无菌生理盐水作为保存介质。对于缺失或形状不佳的牙片或寿命较长的牙片,直接复合树脂修复是首选。如果牙冠结构主要受到骨折的影响,则会考虑美观和抗折性而进行贴面修复。63%的综述文章倾向于碎片再接,26%的文章倾向于直接复合修复。约有 11% 的文章使用了 Venners。复合材料的存活率较高,效果也优于牙片再接。随访时间从 1 周到 4 年不等,除了一颗牙齿需要进行根管治疗外,所有文章都成功地恢复了牙齿的功能和美观:结论:对于不复杂的前牙牙冠折断,碎片再接、直接复合树脂修复和贴面都是成功的治疗方法。治疗方法的选择取决于各种因素,如是否有残片、患者的年龄和经济条件等:试验注册:PROSPERO 注册编号:CRD42020153091CRD42020153091。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Esthetic and Restorative Dentistry
Journal of Esthetic and Restorative Dentistry 医学-牙科与口腔外科
CiteScore
6.30
自引率
6.20%
发文量
124
审稿时长
>12 weeks
期刊介绍: The Journal of Esthetic and Restorative Dentistry (JERD) is the longest standing peer-reviewed journal devoted solely to advancing the knowledge and practice of esthetic dentistry. Its goal is to provide the very latest evidence-based information in the realm of contemporary interdisciplinary esthetic dentistry through high quality clinical papers, sound research reports and educational features. The range of topics covered in the journal includes: - Interdisciplinary esthetic concepts - Implants - Conservative adhesive restorations - Tooth Whitening - Prosthodontic materials and techniques - Dental materials - Orthodontic, periodontal and endodontic esthetics - Esthetics related research - Innovations in esthetics
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