Fragment reattachment after complicated crown-root fractures of anterior teeth: A systematic review
Priyal Khandelwal
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorSiddharth Srinivasan
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorBuvaneshwari Arul
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorCorresponding Author
Velmurugan Natanasabapathy
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Correspondence
Velmurugan Natanasabapathy, Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, TN, India.
Email: vel9911@yahoo.com
Search for more papers by this authorPriyal Khandelwal
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorSiddharth Srinivasan
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorBuvaneshwari Arul
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Search for more papers by this authorCorresponding Author
Velmurugan Natanasabapathy
Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India
Correspondence
Velmurugan Natanasabapathy, Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, TN, India.
Email: vel9911@yahoo.com
Search for more papers by this authorAbstract
Background/Aim
Fragment reattachment is a procedure that can immediately restore form and function in crown-root fracture cases and is considered a minimally invasive and cost-effective treatment option. The aim of this systematic review was to analyze the methods used and the outcome of fragment reattachment for complicated crown-root fractures of anterior teeth.
Materials and Methods
Five electronic databases (PubMed, Web of Science, Embase, Scopus, and Google Scholar) were searched for English language articles regarding fragment reattachment after complicated crown-root fractures of anterior teeth.
Results
Twelve case reports and two case series were selected for this review after applying the inclusion and exclusion criteria. In eleven articles, the fracture line was exposed prior to reattachment. Root canal treatment was performed in all cases except one, where conservative pulp treatment was done prior to reattachment. A post was used as part of the restoration in 85% of the cases. Additional fragment preparation was done in 42% of the cases in the form of beveling and groove formation. Adhesive strategies used to reattach the coronal fragments were total-etch, self-etch, or self-cure adhesive. Intermediate materials used for reattachment were resin cement, glass-ionomer cement, composite and self-adhesive cement. Treatment outcomes were favorable in all the included articles and the follow-up period ranged from three months to seven years.
Conclusion
Fragment reattachment after complicated crown-root fractures of anterior teeth can be considered as a viable treatment option if the clinical conditions are favorable.
CONFLICT OF INTEREST
The authors confirm that they have no conflict of interest.
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