Literature DB >> 20662884

Reattachment of anterior fractured teeth: effect of materials and techniques on impact strength.

Renata Camila Bruschi-Alonso1, Roberta Caroline Bruschi Alonso, Gisele Maria Correr, Marcelo Corrêa Alves, Hugo Roberto Lewgoy, Mário Alexandre Coelho Sinhoreti, Regina Maria Puppin-Rontani, Lourenço Correr-Sobrinho.   

Abstract

BACKGROUND/AIM: The reattachment of dental fragments, as a conservative treatment, should be the first choice to restore fractured teeth. Therefore, the aim of this study was to evaluate the effect of different materials and reattachment techniques on impact strength of bovine incisors.
MATERIAL AND METHODS: Standardized fragments were obtained when 80 crowns were sectioned 12 mm from the incisal edge. Teeth were mounted in PVC rings, embedded in acrylic resin and polyether to simulate bone support and periodontal ligament. Specimens were distributed in nine groups (n = 10), according to the reattachment technique (Direct bonding or Circumferential chamfer); the adhesive system (Single Bond or Clearfil SE Bond); and the intermediated material (Filtek Z350 Flow or Rely X CRA). Sound teeth composed the control group. Circumferential chamfer was prepared after the bonding of the fragment by means of a spherical point and filled with the composite Filtek Z250. The impact strength was evaluated in a universal testing machine Instron. A compressive load was applied at a crosshead speed of 500 mm min(-1) on the buccal surface, 2 mm from the incisal edge. Data were submitted to anova and Ryan-Einot-Gabriel-Welsch Multiple Range test (5%).
RESULTS: Mean value of impact strength for control group was 64.8 Kgf. The fragment reattachment using Circumferential chamfer was significantly superior to Direct Bonding. The use of Single Bond significantly increased the impact strength when compared to the use of Clearfil SE. There was no significant difference among Rely X and Filtek X350 Flow.
CONCLUSION: No technique or material, when individually considered, was capable of achieving the mechanical strength of the sound teeth; however, the association of reattachment technique Circumferential chamfer with bonding system Single Bond could approximate the immediate impact strength of the restored teeth to that observed in the sound teeth.

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Year:  2010        PMID: 20662884     DOI: 10.1111/j.1600-9657.2010.00906.x

Source DB:  PubMed          Journal:  Dent Traumatol        ISSN: 1600-4469            Impact factor:   3.333


  7 in total

1.  In-vitro Evaluation of Fracture Strength Recovery of Reattached Anterior Fractured Tooth Fragment Using Different Re-Attachment Techniques.

Authors:  Abdulmujeeb Abdulkhayum; Sumit Munjal; Prashant Babaji; Vishwajit Rampratap Chaurasia; Seema Munjal; Himani Lau; Santosh T Olekar; Mayank Lau
Journal:  J Clin Diagn Res       Date:  2014-03-15

2.  Allogenous tooth fragment reattachment.

Authors:  Nitin Maitin; Shipra Maitin; Khushboo Rastogi; Rajarshi Bhushan
Journal:  BMJ Case Rep       Date:  2013-07-10

3.  Fracture resistance of reattached fragments using three different techniques with emphasis on vertical grooves and fiber-reinforced composite post: A novel technique.

Authors:  Dhanalaxmi Karre; Radhika Muppa; Mahesh Kumar Duddu; Sreenivas Nallachakrava
Journal:  J Conserv Dent       Date:  2017 Nov-Dec

4.  Management of Tooth Fractures Using Fiber Post and Fragment Reattachment: Report of Two Cases.

Authors:  Rajesh Gopal; Lalkrishna Raveendran; Sonia P Pathrose; Benin Paulaian
Journal:  J Pharm Bioallied Sci       Date:  2017-11

5.  Complicated Crown Fracture of Permanent Incisors: A Conservative Treatment Case Report and a Narrative Review.

Authors:  Mateusz Radwanski; Corrado Caporossi; Monika Lukomska-Szymanska; Arlinda Luzi; Salvatore Sauro
Journal:  Bioengineering (Basel)       Date:  2022-09-18

6.  Fracture Resistance of Reattached Hydrated Fragment of Fractured Incisors.

Authors:  Minu Suresh; Shanthala B Mallikarjun; George Babu; Madakkattayil Abdu Zareena
Journal:  Int J Clin Pediatr Dent       Date:  2020 Sep-Oct

7.  Influence of different tooth preparation and bonding techniques on the fracture resistance of tooth fragment reattachment.

Authors:  Shaymaa M Nagi; Sherif M Khadr
Journal:  Biomater Investig Dent       Date:  2021-07-20
  7 in total

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