Say Esra Can, Altundal Hatice, Kaptan Figen
Department of Operative Dentistry, Faculty of Dentistry, Yeditepe University, Istanbul, Turkey.
Quintessence Int. 2004 Sep;35(8):601-4.
A 14-year-old male patient reported with a horizontal fracture of almost the entire crown of a maxillary incisor, extending subgingivally at the palatal side. After root canal therapy and electrosurgery, the tooth fragment was reattached using a total-etch dentin-bonding system and a hybrid composite. Due to enamel cracks and the necessity for more retention, the labial surfaces of the teeth were veneered with a micro-filled composite. The clinical situation of the reattached teeth was confirmed successful by radiographic and photographic assessment after 1, 3, 6, and 12 months. The restoration of an anterior tooth with original tooth fragment in young patients has advantages over conventional composite or prosthetic restorations. However, reattached teeth with fracture extending subgingivally, require long-term follow-up.
一名14岁男性患者上颌中切牙几乎整个牙冠出现水平骨折,在腭侧龈下延伸。根管治疗和电外科手术后,使用全酸蚀牙本质粘结系统和混合复合树脂重新粘结牙碎片。由于釉质裂纹以及需要更多固位,牙齿唇面用微填料复合树脂进行了贴面修复。在1、3、6和12个月后通过影像学和摄影评估确认重新粘结牙齿的临床情况成功。在年轻患者中用原牙碎片修复前牙比传统复合树脂或修复体修复具有优势。然而,骨折延伸至龈下的重新粘结牙齿需要长期随访。