Sameni Abdi, Razaghy Mehrdad, Karimi Kiarash, Gantman Isabella Popeil, Oliveira Gustavo Mussi Stefan
Private Practice, Los Angeles, California, USA.
UCLA School of Dentistry, Los Angeles, California, USA.
J Esthet Restor Dent. 2025 May;37(5):1233-1247. doi: 10.1111/jerd.13433. Epub 2025 Mar 8.
Tooth fragment reattachment is a conservative approach for treating various types of traumatic dental injuries. This review examines the classification of the traumatic dental injuries, provides a detailed description of the steps involved in fragment reattachment, and discusses the factors influencing its success, along with potential complications.
Clinicians should be familiar with the types of traumatic dental injuries and their signs and symptoms to establish an accurate diagnosis. Proper hydration of the tooth fragment is essential for optimal reattachment through bonding procedures. Techniques for preparing the fragment and tooth remnant vary in effectiveness, and it is generally accepted that combining adhesive systems with composite resin as the intermediate material is often the most effective option. It is important to discuss the advantages and disadvantages of this treatment option with patients to help them make an informed decision suited to their specific situation.
Tooth fragment reattachment should be considered the preferred technique when the fragment is available and viable. Despite differences in techniques and materials, reattachment appears to show a survival rate comparable to direct composite restorations. Regular and frequent follow-up appointments are essential to monitor for potential complications.
Tooth fragment reattachment is a conservative treatment option available to patients. Due to significant advancements in adhesive dentistry, fragment reattachment can be offered as a definitive treatment option.
牙齿碎片再植是治疗各类外伤性牙损伤的一种保守方法。本综述探讨了外伤性牙损伤的分类，详细描述了碎片再植的步骤，并讨论了影响其成功的因素以及潜在并发症。
临床医生应熟悉外伤性牙损伤的类型及其体征和症状，以便做出准确诊断。通过粘结程序实现最佳再植，牙齿碎片的适当水合至关重要。制备碎片和牙齿残端的技术效果各异，一般认为将粘结系统与复合树脂作为中间材料相结合通常是最有效的选择。与患者讨论这种治疗选择的优缺点，有助于他们做出适合其具体情况的明智决定。
当碎片可用且有活力时，牙齿碎片再植应被视为首选技术。尽管技术和材料存在差异，但再植的存活率似乎与直接复合树脂修复相当。定期频繁的随访预约对于监测潜在并发症至关重要。
牙齿碎片再植是患者可选择的一种保守治疗方法。由于粘结牙科的重大进展，碎片再植可作为一种确定性治疗选择。
