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KMID : 0353320020260020227
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Oral Biology Research
2002 Volume.26 No. 2 p.227 ~ p.237
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Reattachment of Anterior Tooth Fractured Fragments
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Abstract
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Trauma to anterior teeth is relatively common among children and teenagers; it has been estimated that approximately one quarter of the population under the age of 18 years sustain traumatic injury in the form of anterior crown fracture. Crown fractures are the most frequent form of acute dental injury. Crown fractures of permanent incisors represent 18% to 22% of all trauma to dental hard tissues. The use of enamel-dentin adhesives, which have already been widely used for the reconstruction of anterior teeth, has enabled development of a technique to reattach the fractured dental fragment and simplified the reattachment of fractured dentinal fragments. The use of enamel-dentin adhesives and composite resin to reattach the fractured dental fragment was introduced at the end of the 1970s. These techniques clearly eliminates problems of different wear of restorative material, unmatched shades, and difficulty of contour and texture reproduction associated procedures are also reduced because there id no need to spend time on tooth buildup with resin composite or impression taking for cast restoration.
This article presents a systematic approach for evaluation and treatment of patient with anterior tooth fracture involving dislocation of the tooth fragment. Two clinical cases illustrated the spectrum of clinical techniques, including the use of dentin-bonding adhesive and resin composite, for reliable reattachment of fractured tooth fragments.
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