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J Conserv Dent. 2012 Jan;15(1):80-3. doi: 10.4103/0972-0707.92613.

Tooth fragment reattachment technique on a pluri traumatized tooth.

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Department of Conservative Dentistry, Messina Dental School, Messina University, Catania, Me, Italy.


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.


Adhesive technique; crown fracture; dental trauma; reattachment; tooth fragment

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