title: Direct Resin Composite Restoration of Maxillary Central Incisors with Fractured Tooth Fragment Reattachment: Case Report.
abstract: This article presents a clinical protocol to reconstruct two accidentally damaged maxillary central incisors using composite resin material and a fractured tooth component. A patient was referred to the clinic with fracture of the two maxillary central incisors. Clinical examination revealed that both teeth were fractured in the middle third of the crown and that the fractures involved enamel and dentin with no pulp exposure. The patient had also suffered a lower lip laceration. When the lip was evaluated, a fractured fragment of the maxillary right central incisor was found inside the wound. The missing part of the tooth was replaced via adhesive attachment. Due to the damage of the fractured part of the maxillary left central incisor, direct composite restoration of this tooth was performed. With the advent of adhesive dentistry, the process of fragment reattachment has become simplified and more reliable. This procedure provides improved function, is faster to perform, and provides long-lasting effects, indicating that reattachment of a coronal fragment is a realistic alternative to placement of conventional resin composite restorations.
authors.forename: Monika
authors.initials: M
authors.lastname: Szmidt
authors.forename: Maciej
authors.initials: M
authors.lastname: Górski
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Barczak
authors.forename: Jadwiga
authors.initials: J
authors.lastname: Buczkowska-Radlińska
mesh_terms: D000134:Acid Etching, Dental; D000328:Adult; D003188:Composite Resins / Q000737:chemistry; D001840:Dental Bonding / Q000379:methods; D003743:Dental Enamel / Q000737:chemistry / Q000293:injuries; D003793:Dental Restoration, Permanent / Q000379:methods*; D003804:Dentin / Q000737:chemistry / Q000293:injuries; D017220:Dentin-Bonding Agents; D004955:Esthetics, Dental; D005260:Female; D006694:Holistic Health; D006801:Humans; D007180:Incisor / Q000000981:diagnostic imaging / Q000293:injuries* / Q000473:pathology; D022125:Lacerations; D008046:Lip / Q000000981:diagnostic imaging / Q000293:injuries; D008437:Maxilla; D019279:Resin Cements; D019228:Tooth Crown / Q000293:injuries / Q000473:pathology; D014082:Tooth Fractures / Q000628:therapy*
chemical_list: D003188:Composite Resins; D017220:Dentin-Bonding Agents; D019279:Resin Cements