Evaluation of the fracture resistance of reattached incisal fragments using different materials and techniques.
OBJECTIVE
When coronal fracture occurs in anterior teeth, fragment reattachment can be a valid alternative to a direct restoration. The aim of this study was to evaluate the influence of the material and the technique used to reattach the fragment.


METHODS
Eighty sound maxillary and mandibular incisors were selected and randomly divided into eight groups (n = 10). The incisal third of each tooth was removed using a saw machine. The fragments in groups 1-4 were reattached using resin-based materials: group 1 adhesive, group 2 flow, group 3 composite, group 4 cement; in groups 5-8, the same materials mentioned before were used but a bevel was also performed on both labial and lingual surfaces. Shear bond strength (SBS) was calculated by applying a load incisal to the reattachment line. A two-way Anova was used to evaluate the influence of materials and techniques on the SBS.


RESULTS
The technique used was statistically significant (P < 0.001), while the material was not (P = 0.793).


CONCLUSIONS
The choice of material seems to have no influence on the SBS, whereas a bevel performed on the labial and lingual surfaces can significantly improve the SBS of the reattached fragment.
Department of Dental Sciences, University of Siena, Siena, Italy.
Michelle
M
Chazine
Maurizio
M
Sedda
Hani F
HF
Ounsi
Raffaele
R
Paragliola
Marco
M
Ferrari
Simone
S
Grandini
D000704:Analysis of Variance; D017438:Bisphenol A-Glycidyl Methacrylate / Q000627:therapeutic use; D003188:Composite Resins / Q000627:therapeutic use*; D001840:Dental Bonding / Q000379:methods*; D003775:Dental Polishing; D019232:Dental Restoration Failure; D003793:Dental Restoration, Permanent / Q000379:methods*; D003799:Dental Stress Analysis; D006801:Humans; D007180:Incisor / Q000293:injuries*; D008334:Mandible; D008437:Maxilla; D011092:Polyethylene Glycols / Q000627:therapeutic use; D011109:Polymethacrylic Acids / Q000627:therapeutic use; D019279:Resin Cements / Q000627:therapeutic use; D033081:Shear Strength; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000628:therapy*
D003188:Composite Resins; C474035:Filtek Supreme; D011109:Polymethacrylic Acids; C462240:RelyX ARC; D019279:Resin Cements; C084018:Scotchbond Multi-Purpose; D011092:Polyethylene Glycols; D017438:Bisphenol A-Glycidyl Methacrylate