Volume 37, Issue 1 p. 37-52
COMPREHENSIVE REVIEW

Fragment reattachment after complicated crown-root fractures of anterior teeth: A systematic review

Priyal Khandelwal

Priyal Khandelwal

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India

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Siddharth Srinivasan

Siddharth Srinivasan

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India

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Buvaneshwari Arul

Buvaneshwari Arul

Department of Conservative Dentistry and Endodontics, Faculty of Dentistry, Meenakshi Academy of Higher Education And Research (MAHER), Chennai, India

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Velmurugan Natanasabapathy

Corresponding 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

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First published: 19 August 2020
Citations: 11

Abstract

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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