Reattachment of coronal fragments: operative considerations for the repair of anterior teeth.
The maxillary incisors occupy an extraordinary position in the dental arch. They set the aesthetic tone, and their influence on the overall well-being of the individual cannot be overemphasized. However, their eruptive pattern and dominance carries a significant risk for trauma, particularly in childhood. More than half of all traumatic dental injuries involve the central incisors. In the past, fractured teeth were either extracted, trimmed and leveled, or restored with cast restorations. The learning objective of this article is to stimulate a shift in treatment strategy towards aesthetic reattachment of fractured segments. Indications and limitations for reattachment are outlined, including the primary and secondary restorative efforts. Innovative operative techniques that improve the aesthetic, biologic, and mechanical variables of the reattachment treatment option are presented.
Liebenberg
W H
WH
D001840:Dental Bonding / Q000379:methods*; D003789:Dental Pulp Exposure / Q000209:etiology / Q000628:therapy; D003790:Dental Pulp Necrosis / Q000175:diagnosis / Q000209:etiology; D003793:Dental Restoration, Permanent / Q000379:methods*; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008437:Maxilla; D010347:Patient Care Planning; D018579:Patient Selection; D019279:Resin Cements; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000150:complications / Q000628:therapy*
D019279:Resin Cements; C078484:Syntac dentine adhesive