Comparative Evaluation of Two Post-Bonding Reinforcement Protocols for Fragment Reattachment in Uncomplicated Crown Fracture-An In Vitro Study.

IF 2.3 3区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE
Amna Afrin Kidwai, Komal Yadav, Nitesh Tewari, Farheen Sultan, Vijay Prakash Mathur, Ashish Dutt Upadhyaya, Morankar Rahul
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引用次数: 0

Abstract

Background/aims: Re-bonding of a fractured fragment without any preparations or reinforcement has been recommended as the preferred treatment of uncomplicated crown fractures. A recent systematic review found that post-bonding reinforcements could reduce the risk of loss of attached fragments in teeth with uncomplicated and complicated crown fractures. Hence, this study aimed to compare various techniques of reinforcement in terms of the force required to fracture, using bovine incisor models with simulated uncomplicated crown fractures.

Methods: This in vitro study was initiated after obtaining approval from the Institutional Ethics Committee. The sample size was calculated as 20 teeth per group, and bovine mandibular incisors were carefully evaluated for size and absence of structural defects and randomly allocated to four groups (Group I- Simple Reattachment, Group II- External Chamfer, Group III- Over contouring, Group IV- Sound teeth). Those in experimental groups were subjected to a fracture protocol, kept dry at room temperature and atmospheric pressure for 24 h, rehydrated for 15 min, and bonded using simple reattachment. The post-bonding reinforcement protocols were followed for Groups II and III. Samples were stored in normal saline, and thermocycling was performed. A universal testing machine was used to assess the force required to fracture.

Results: The least magnitude of force required for fracture was seen in Group I, while the highest was seen in Group III (164.75 N). The force in Group I was significantly lower compared to all the protocols of post-bonding reinforcement and the control teeth (Group IV). A statistically significant difference was not seen between Groups II and III.

Conclusion: The force required to fracture the teeth subjected to post-bonding reinforcement was significantly more than that seen after simple reattachment. The maximum force was exhibited by the teeth reinforced by over-contouring, followed by an external chamfer.

单纯冠状骨折碎片再附着两种粘结后加固方案的比较评价-体外研究。
背景/目的:无任何准备或加固的骨折碎片重粘接被推荐为非复杂性冠骨折的首选治疗方法。最近的一项系统综述发现,粘接后加固可以降低无并发症和复杂冠骨折牙齿附着碎片丢失的风险。因此,本研究的目的是比较不同的加固技术在断裂所需的力方面,使用牛切牙模型模拟简单的冠骨折。方法:本体外研究在获得机构伦理委员会批准后启动。按每组20颗牙齿计算样本量,仔细评估牛下颌切牙的大小和有无结构缺陷,并随机分为4组(I组-简单再附着,II组-外倒角,III组-过轮廓,IV组-健全牙齿)。实验组接受骨折治疗方案,在室温和常压下保持干燥24小时,再水合15分钟,并通过简单的再连接进行粘合。第二组和第三组采用粘接后加固方案。样品保存在生理盐水中,并进行热循环。使用万能试验机评估断裂所需的力。结果:I组骨折所需的力最小,III组骨折所需的力最大(164.75 N)。与所有粘结后加固方案和对照牙(IV组)相比,I组的受力明显降低。第二组和第三组之间没有统计学上的显著差异。结论:粘接后加固后的断牙力明显大于单纯再附着后的断牙力。最大的力是通过过度轮廓增强的牙齿,其次是外部倒角。
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来源期刊
Dental Traumatology
Dental Traumatology 医学-牙科与口腔外科
CiteScore
6.40
自引率
32.00%
发文量
85
审稿时长
6-12 weeks
期刊介绍: Dental Traumatology is an international journal that aims to convey scientific and clinical progress in all areas related to adult and pediatric dental traumatology. This includes the following topics: - Epidemiology, Social Aspects, Education, Diagnostics - Esthetics / Prosthetics/ Restorative - Evidence Based Traumatology & Study Design - Oral & Maxillofacial Surgery/Transplant/Implant - Pediatrics and Orthodontics - Prevention and Sports Dentistry - Endodontics and Periodontal Aspects The journal"s aim is to promote communication among clinicians, educators, researchers, and others interested in the field of dental traumatology.
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