Lo Giudice Giuseppe, Lipari Frank, Lizio Angelo, Cervino Gabriel, Cicciù Marco
Department of Conservative Dentistry, Messina Dental School, Messina University, Catania, Me, Italy.
J Conserv Dent. 2012 Jan;15(1):80-3. doi: 10.4103/0972-0707.92613.
This case report describes and analyses a tooth fragment reattachment technique used to resolve crown fractures of the anterior teeth. This treatment allows a conservative approach to traumatic coronal lesions offering a better possibility of maintaining aesthetics and function. The authors have illustrated here a clinical case of a fractured incisor. This case is characterized by several traumas on the same tooth that required different therapeutic solutions. We used an easy and ultra-conservative technique without any tooth preparation in the first and third traumatic injuries. In the second trauma, a direct restoration of the fractured tooth was performed. The adhesive reattachment is a simple system to achieve good aesthetic and functional results.Our clinical experiences demonstrated that, when tooth and fragment margins are intact, the reattachment technique without any tooth preparation is a simple and predictable procedure. Quality of adhesion is shown by the retention of the reattached fragment in the second trauma that caused only partial enamel fractures.
本病例报告描述并分析了一种用于解决前牙冠折的牙碎片重新附着技术。这种治疗方法采用保守方式处理外伤性冠部病变,为维持美观和功能提供了更好的可能性。作者在此展示了一例门牙折断的临床病例。该病例的特点是同一颗牙齿遭受多次创伤,需要不同的治疗方案。在第一次和第三次创伤中,我们采用了一种简单且超保守的技术,无需对牙齿进行任何预备。在第二次创伤中,对折断的牙齿进行了直接修复。粘结重新附着是一种能取得良好美观和功能效果的简单方法。我们的临床经验表明,当牙齿和碎片边缘完整时,无需对牙齿进行任何预备的重新附着技术是一种简单且可预测的操作。在仅导致部分牙釉质骨折的第二次创伤中,重新附着的碎片得以保留,这显示了粘结质量。