Abstract
Aim: The aim the present case report was to describe the multidisciplinary treatment procedure of maxillary incisors with complicated crown fracture using reattachment technique and 12-months follow-up.Case Report: A 21-year-old male patient applied to our clinic with the chief complaint of fractured upper central incisors and upper left lateral incisor due to an accident 2 days before. Patient’s medical history was noncontributory. Clinical and radiographic examination revealed complicated horizontal crown fractures in the middle third of the crowns of maxillary incisors. The patient also presented the fragment of the detached teeth that had broken. After isolation with rubber dam, conservative endodontic access cavities were prepared. Under copious irrigation with 5.25% NaOCl, teeth were instrumented up to X4 40/.06 with ProTaper Next NiTi rotary instruments. Root canals were obturated with gutta-percha and sealer using lateral compaction technique. After the day in the Dişin translusentliği ve orijinal konturları muhafaza edildiğinden daha estetik bir restorasyon elde edilir. Ayrıca reataçman tekniği ile restore edilen diş, rezin restorasyonlara göre lekelenmelere ve abrazyona daha dirençlidir 7,8,9 . Bu tarz tedavilerde yeterli büyüklükte ve tek parça halindeki kırıkların parçalar ile yapılan restorasyonların başarı şansları yüksektir. Birçok çalışmada başarılı reataçman tedavisi ile uzun süreli klinik başarının ilişkili olduğu rapor edilmiştir 10,11, 12 . Bu olgu raporunda, komplike kron kırıklı üst orta kesici dişlerin ve sol üst lateral kesici dişin kök kanal tedavisi, kendi kırık parçaları ile restorasyonu ve 1 yıllık takibinin sunulması amaçlanmaktadır
Keywords
Complicated Crown Fracture Trauma Reattachment Technique Endodontics Conservative Treatment.
References
- 1. Divakar HD, Nayak M, Shetty R. Changing concepts in fracture reattachment of teeth—a case series. Endod 2007;2013:27–35
- 2. Dietschi D, Jacoby T, Dietschi JM, Schatz JP. Treatment of traumatic injuries in the front teeth: Restorative aspects in crown fractures. Pract Periodontics Aesthet Dent. 2000;12:751–8
- 3. Hamilton FA, Hill FJ, Holloway PJ. An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 1: The prevalence and incidence of injuries and the extent and adequacy of treatment received. Br Dent J. 1997;182:91–5.
- 4. Abdulkhayum A., Munjal S., Babaji P., Chaurasia V. R., Munjal S., Lau H., Olekar S. T., Lau M. In-vitro evaluation of fracture strength recovery of reattached anterior fractured tooth fragment using different re-attachment techniques. J Clin Diag Res. 2014;8:208–11.
- 5. Pagliarini A., Rubini R., Rea M., Campese M. Crown fractures: effectiveness of current enamel-dentin adhesives in reattachment of fractured fragments. Quintessence Int 2000;31:133–6.
- 6. Baratieri LN, Ritter AV, Monterio Júnior S, de Mello Filho JC. Tooth fragment reattachment: an alternative for restoration of fractured anterior teeth. Pract Periodontics Aesthet Dent. 1998;10:115–25.
- 7. JO Andreasen, FM Andreasen. Classification, etiology and epidemiology. In: Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Copenhagen: Munksgaard. 1994:151–180.
- 8. S Nysether. Dental injuries among Norwegian soccer players. Community Dent Oral Epidemiol. 1987;15:141– 143.
- 9. A Dhingra, DK Srivastava. Immediate reattachment of fractured crown fragment: a case report. Endod. 2006;18:94–96.
- 10. Macedo GV, Diaz PI, DE O. Fernandes CA, et al. Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent 2008;2013:5–20
- 11. Kumar A, Jyothi KN. Reattachment of fractured tooth using self etching adhesive and esthetic fiber post. J Dent Sci Res. 2010;1:75–83.
- 12. Shargod SS, Bhat SS. A 9 year follow-up of a fractured tooth fragment reattachment. Contemp Clin Dent. 2010; 1: 243–245.
- 13. Oz IA, Haytac, MC, Toroglu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol 2006;22:48– 52.
- 14. Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol 2002;18:281–4.
- 15. Baratieri LN, Monteiro S Jr, Andrada MAC. Tooth fracture reattachment: case reports. Quintessence Int 1990;21:261– 70.
- 16. Işeri U, Özkurt Z, Kazazoğlu E. Clinical management of a fractured anterior tooth with reattachment technique: a case report with an 8‐year follow up. Dent Traumatol 2011;27:399-403.
- 17. Baratieri LN, Monteiro S Jr, Andrada MAC. The ‘‘sandwich’’ technique as a base for reattachment of dental fragments. Quintessence Int 1991;22:81–5.
- 18. Perdigã o J, Van Meerbeek B, Lopes MM, Ambrose WW. The effect of a re-wetting agent on dentin bonding. Dent Mater 1999;15:282–95.
- 19. Burke FJT. Reattachment of a fractured central incisor tooth fragment. Br Dent J. 1991; 170: 223–5.
- 20. Tulunoğlu F, Görduysus Ö. A simple method for the restoration of fractured anterior teeth. J Prosthet Dent. 1997; 78: 614–5.
- 21. Demarco FF, Fay RM, Pinzon LM, Powers JM. Fracture resistance of re-attached coronal fragments – influence of different adhesive materials and bevel preparation. Dent Traumatol 2004;20:157–63.
- 22. Sengun A, Ozer F, Unlu N, Ozturk B. Shear bond strengths of tooth fragments reattached or restored. J Oral Rehabil 2003;30:82–6.
- 23. Costa CAS, Giro EMA, Nascimento ABL, Teixeira HM, Hebling J. Short term evaluation of the pulp-dentin complex response to a resin-modified glass-ionomer cement and a bonding agent applied in deep cavities. Dent Mater 2003;19:739–46.
- 24. Morris MD, Lee KW, Agee K, Bouillaguet S, Pashley DH. Effects of NaOCl and RC-Prep on bond strengths of resin cement to endodontic surfaces. J Endod. 2001; 27: 753–7.
- 25. Walker M. Fractured-tooth fragment reattachment. Gen Dent 1996;44:434–6.
Abstract
Amaç: Bu olgu sunumunun amacı; komplike kron kök kırığı bulunan maksiller kesici dişlerin reataçman tekniği kullanılarak yapılan multidisipliner tedavisini ve 12 aylık takibini sunmaktır. Olgu Sunumu: Yirmi bir yaşındaki erkek hasta maksiller orta keser dişleri ve sol yan keser dişinde 2 gün önce kaza sonucu oluşan kırık ve ağrı şikayeti ile kliniğimize başvurdu. Hastanın herhangi bir sistemik hastalığı olmadığı tespit edildi. Klinik ve radyografik muayenede maksiller orta keser ve sol yan keser dişlerin kronlarının orta üçlüden kırıldığı belirlendi. Hastanın dişlerinin kırık parçalarını muhafaza ettiği belirlendi. Ilgili dişlerin lastik örtü ile izolasyonunun ardından konservatif endodontik giriş kaviteleri hazırlandı. %5,25 NaOCl irrigasyonu altında dişlerin kök kanalları ProTaper Next NiTi döner eğe sistemi ile X4 40/.06 ’e kadar genişletildi. Daha sonra kök kanalları gutta-perka ve kök kanal patı ile lateral kompaksiyon tekniğine uygun olarak dolduruldu. Ertesi gün yapılan seansta kırık dişler kendilerine ait kırık parçalar ile Panavia F 2.0 rezin siman kullanılarak restore edildi. On iki ay sonra yapılan klinik ve radyografik muayenede ilgili dişlerin asemptomatik olduğu ve periapikal dokuların sağlıklı olduğu tespit edildi. Sonuç: Komplike kron kırık vakalarında, kırık dişlerin kendine ait parçalar ile restore edilmesi iyi bir tedavi alternatifi olarak değerlendirilebilir
References
- 1. Divakar HD, Nayak M, Shetty R. Changing concepts in fracture reattachment of teeth—a case series. Endod 2007;2013:27–35
- 2. Dietschi D, Jacoby T, Dietschi JM, Schatz JP. Treatment of traumatic injuries in the front teeth: Restorative aspects in crown fractures. Pract Periodontics Aesthet Dent. 2000;12:751–8
- 3. Hamilton FA, Hill FJ, Holloway PJ. An investigation of dento-alveolar trauma and its treatment in an adolescent population. Part 1: The prevalence and incidence of injuries and the extent and adequacy of treatment received. Br Dent J. 1997;182:91–5.
- 4. Abdulkhayum A., Munjal S., Babaji P., Chaurasia V. R., Munjal S., Lau H., Olekar S. T., Lau M. In-vitro evaluation of fracture strength recovery of reattached anterior fractured tooth fragment using different re-attachment techniques. J Clin Diag Res. 2014;8:208–11.
- 5. Pagliarini A., Rubini R., Rea M., Campese M. Crown fractures: effectiveness of current enamel-dentin adhesives in reattachment of fractured fragments. Quintessence Int 2000;31:133–6.
- 6. Baratieri LN, Ritter AV, Monterio Júnior S, de Mello Filho JC. Tooth fragment reattachment: an alternative for restoration of fractured anterior teeth. Pract Periodontics Aesthet Dent. 1998;10:115–25.
- 7. JO Andreasen, FM Andreasen. Classification, etiology and epidemiology. In: Andreasen JO, Andreasen FM. Textbook and Color Atlas of Traumatic Injuries to the Teeth. Copenhagen: Munksgaard. 1994:151–180.
- 8. S Nysether. Dental injuries among Norwegian soccer players. Community Dent Oral Epidemiol. 1987;15:141– 143.
- 9. A Dhingra, DK Srivastava. Immediate reattachment of fractured crown fragment: a case report. Endod. 2006;18:94–96.
- 10. Macedo GV, Diaz PI, DE O. Fernandes CA, et al. Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent 2008;2013:5–20
- 11. Kumar A, Jyothi KN. Reattachment of fractured tooth using self etching adhesive and esthetic fiber post. J Dent Sci Res. 2010;1:75–83.
- 12. Shargod SS, Bhat SS. A 9 year follow-up of a fractured tooth fragment reattachment. Contemp Clin Dent. 2010; 1: 243–245.
- 13. Oz IA, Haytac, MC, Toroglu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol 2006;22:48– 52.
- 14. Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol 2002;18:281–4.
- 15. Baratieri LN, Monteiro S Jr, Andrada MAC. Tooth fracture reattachment: case reports. Quintessence Int 1990;21:261– 70.
- 16. Işeri U, Özkurt Z, Kazazoğlu E. Clinical management of a fractured anterior tooth with reattachment technique: a case report with an 8‐year follow up. Dent Traumatol 2011;27:399-403.
- 17. Baratieri LN, Monteiro S Jr, Andrada MAC. The ‘‘sandwich’’ technique as a base for reattachment of dental fragments. Quintessence Int 1991;22:81–5.
- 18. Perdigã o J, Van Meerbeek B, Lopes MM, Ambrose WW. The effect of a re-wetting agent on dentin bonding. Dent Mater 1999;15:282–95.
- 19. Burke FJT. Reattachment of a fractured central incisor tooth fragment. Br Dent J. 1991; 170: 223–5.
- 20. Tulunoğlu F, Görduysus Ö. A simple method for the restoration of fractured anterior teeth. J Prosthet Dent. 1997; 78: 614–5.
- 21. Demarco FF, Fay RM, Pinzon LM, Powers JM. Fracture resistance of re-attached coronal fragments – influence of different adhesive materials and bevel preparation. Dent Traumatol 2004;20:157–63.
- 22. Sengun A, Ozer F, Unlu N, Ozturk B. Shear bond strengths of tooth fragments reattached or restored. J Oral Rehabil 2003;30:82–6.
- 23. Costa CAS, Giro EMA, Nascimento ABL, Teixeira HM, Hebling J. Short term evaluation of the pulp-dentin complex response to a resin-modified glass-ionomer cement and a bonding agent applied in deep cavities. Dent Mater 2003;19:739–46.
- 24. Morris MD, Lee KW, Agee K, Bouillaguet S, Pashley DH. Effects of NaOCl and RC-Prep on bond strengths of resin cement to endodontic surfaces. J Endod. 2001; 27: 753–7.
- 25. Walker M. Fractured-tooth fragment reattachment. Gen Dent 1996;44:434–6.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | January 1, 2016 |
| Published in Issue | Year 2016 Issue: 1 |
Cite
It is aimed that the Journal of International Dentistry Sciences be included in the Ulakbim TR Dizin. Necessary preparations are continuing for the issues to be published in 2020 in the TR Dizin.