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Die Therapie von Kronenfrakturen bei Frontzähnen – Reattachment statt Restauration?


Wiegand, A; Rödig, T; Attin, T (2005). Die Therapie von Kronenfrakturen bei Frontzähnen – Reattachment statt Restauration? Schweizer Monatsschrift für Zahnmedizin SMfZ, 115(12):1172-1181.

Abstract

Crown fractures are the most common form of traumatic dental injuries in the permanent dentition. Reattachment of the coronal fragment to the remaining tooth structure may offer a conservative, esthetic and cost-effective restorative option which has been shown to be an accepted alternative to conventional restoration (resin composite build-up, veneer or crown) of the fractured teeth. Fragment retention is significantly influenced by reattachment techniques and materials. Regarding reattachment techniques, placement of an internal groove seems advisable when the remnant and the fragment fit well, while an overcontouration should be used when the partial loss of hard tissue must be compensated. Materials used for reattachment seem to be less important than technique for a successful treatment, but adhesives and composite resin materials should correspond to each other. However, up to now, self-etching adhesives have shown less fracture strength of the reattachment than multi-bottle adhesives. Since many case reports and several clinical studies reported clinical success, further studies are recommended to analyse the impact of reattachment techniques and materials on the long-term survival of fragment bonding.

Abstract

Crown fractures are the most common form of traumatic dental injuries in the permanent dentition. Reattachment of the coronal fragment to the remaining tooth structure may offer a conservative, esthetic and cost-effective restorative option which has been shown to be an accepted alternative to conventional restoration (resin composite build-up, veneer or crown) of the fractured teeth. Fragment retention is significantly influenced by reattachment techniques and materials. Regarding reattachment techniques, placement of an internal groove seems advisable when the remnant and the fragment fit well, while an overcontouration should be used when the partial loss of hard tissue must be compensated. Materials used for reattachment seem to be less important than technique for a successful treatment, but adhesives and composite resin materials should correspond to each other. However, up to now, self-etching adhesives have shown less fracture strength of the reattachment than multi-bottle adhesives. Since many case reports and several clinical studies reported clinical success, further studies are recommended to analyse the impact of reattachment techniques and materials on the long-term survival of fragment bonding.

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Additional indexing

Other titles:Treatment of crown fractured incisors: reattachment instead of restoration?
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Preventive Dentistry, Periodontology and Cariology
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:December 2005
Deposited On:16 Jun 2008 14:42
Last Modified:21 Nov 2017 13:27
Publisher:Schweizerische Zahnärzte-Gesellschft
ISSN:0256-2855
Additional Information:Free full text article
Official URL:http://www.sso.ch/doc/doc_download.cfm?uuid=955382B3D9D9424C4A4635EB4FD0A7A4&&IRACER_AUTOLINK&&
PubMed ID:16408822

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