CASE REPORT
Postraumatic immediate reattachment of a dehydrated tooth fragment – Case study
1
Private dental office, Poland, Poland
2
Students Science Club of Pathophysiologists, Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
3
Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury in Olsztyn, Poland
Submission date: 2024-08-12
Final revision date: 2024-11-11
Acceptance date: 2024-12-04
Online publication date: 2024-12-10
Corresponding author
Joanna Wojtkiewicz
Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Warszawska 30, 10-082, Olsztyn, Poland.
Department of Human Physiology and Pathophysiology, School of Medicine, Collegium Medicum, University of Warmia and Mazury, Warszawska 30, 10-082, Olsztyn, Poland.
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Among head traumas, dental injuries are highly correlated to sports activities, and their management can be a real challenge for practitioners of any specialty. In the case of trauma directed to dental structures, restorative solutions may not be sufficient to achieve a definitive and long-lasting treatment.
Aim:
This paper aims to present a case report of a treatment of a tough post-trauma case of a patient after hitting the ball and show the outcomes of the implemented treatment.
Case study:
We present a case report of a treatment 24-year-old patient who is a semi-professional football player. During the training, he lost 1/3 part of the coronal central incisor.
Discussion:
The reattachment procedure was performed. The remaining tooth structure was treated with an ‘etch and rinse’ technique using a 3-step universal dental adhesive system. This procedure is flexible and permits minimally invasive therapy taking advantage of dental adhesion and allowing the restored tooth to obtain a fracture resistance compatible to the functional stress of a sound tooth. This technique compared to the prosthetic techniques, besides being more conservative, can produce immediate results without the need for various laboratory procedures, generating better patient compliance
Conclusions:
This therapy is particularly suitable for maxillofacial as it is minimally invasive, quick, and easy to perform.
Among head traumas, dental injuries are highly correlated to sports activities, and their management can be a real challenge for practitioners of any specialty. In the case of trauma directed to dental structures, restorative solutions may not be sufficient to achieve a definitive and long-lasting treatment.
Aim:
This paper aims to present a case report of a treatment of a tough post-trauma case of a patient after hitting the ball and show the outcomes of the implemented treatment.
Case study:
We present a case report of a treatment 24-year-old patient who is a semi-professional football player. During the training, he lost 1/3 part of the coronal central incisor.
Discussion:
The reattachment procedure was performed. The remaining tooth structure was treated with an ‘etch and rinse’ technique using a 3-step universal dental adhesive system. This procedure is flexible and permits minimally invasive therapy taking advantage of dental adhesion and allowing the restored tooth to obtain a fracture resistance compatible to the functional stress of a sound tooth. This technique compared to the prosthetic techniques, besides being more conservative, can produce immediate results without the need for various laboratory procedures, generating better patient compliance
Conclusions:
This therapy is particularly suitable for maxillofacial as it is minimally invasive, quick, and easy to perform.
FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
REFERENCES (18)
1.
Gassner R, Bösch R, Tuli T, Emshoff R. Prevalence of dental trauma in 6000 patients with facial injuries. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1999;87(1):27–33. https://doi.org/10.1016/s1079-....
2.
Thorén H, Numminen L, Snäll J, et al. Occurrence and types of dental injuries among patients with maxillofacial fractures. Int J Oral Maxillofac Surg. 2010;39(8):774–778. https://doi.org/10.1016/j.ijom....
3.
Gassner R, Tuli T, Hächl O, Rudisch A, Ulmer H. Cranio-maxillofacial trauma: a 10 year review of 9543 cases with 21067 injuries. J Craniomaxillofac Surg. 2003;31(1):51–61. https://doi.org/10.1016/S1010-....
4.
Abdulkhayum A, Munjal S, Babaji P, et al. In-vitro evaluation of fracture strength recovery of reattached anterior fractured tooth fragment using different re-attachment techniques. J Clin Diagn Res. 2014;8(3):208–211. https://doi.org/10.7860/JCDR/2....
5.
Kaste LM, Gift HC, Bhat M, Swango PA. Prevalence of incisor trauma in persons 6 to 50 years of age: United States, 1988–1991. J Dent Res. 1996;75(2 Suppl):696–705. https://doi.org/10.1177/002203....
6.
Knapik J, Marshall S, Robyn B, et al. Mouthguards in sport activities: History, physical properties and injury prevention effectiveness. Sports Medicine. 2007;37(2):117–44. https://doi.org/10.2165/000072....
7.
Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment: Clinical stages for immediate reattachment of tooth fragment. Dent Traumatol. 2002;18(5):281–284. https://doi.org/10.1034/j.1600....
8.
Bissinger R, Müller DD, Reymus M, et al. Treatment outcomes after uncomplicated and complicated crown fractures in permanent teeth. Clin Oral Invest. 2021;25:133–143.
9.
de Vasconcelos RA, Lima BT, Lima RP, de G Gonçalves E, Rodrigues RF. Integrated treatment of crown fracture due to dental trauma in upper anterior region a case report. Int J Clin Dent. 2020;13(2):137–146.
10.
Lakshmaiah D, Visshnuvardhini SR, Ilango S, Sakthi N, Sreelakshmi PS. Management of complex crown fractures: a case series. Cureus. 2023;15(4):e37907. https://doi.org/10.7759/cureus....
11.
Demarco FF, De Moura FRR, Tarquinio SBC, Lima FG. Reattachment using a fragment from an extracted tooth to treat complicated coronal fracture. Dent Traumatol. 2008;24(2):257–261. https://doi.org/10.1111/j.1600....
12.
De Blanco LP. Treatment of crown fractures with pulp exposure. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996;82(5):564–568. https://doi.org/10.1016/S1079-....
13.
Cvek M, Cleaton-Jones PE, Austin JC, Andreasen JO. Pulp reactions to exposure after experimental crown fractures or grinding in adult monkeys. J Endod. 1982;8(9):391–397. https://doi.org/10.1016/S0099-....
14.
Davari AR, Sadeghi M. Influence of different bonding agents and composite resins on fracture resistance of reattached incisal tooth fragment. J Dent (Shiraz). 2014;15(1):6–14.
15.
Arhun N, Ungor M. Re-attachment of a fractured tooth: a case report. Dent Traumatol. 2007;23(5):322–326. https://doi.org/10.1111/j.1600....
16.
Kulkarni VK, Gadhe DE, Gavade SS, Dugad S, Khavnekar SS, Karpe H. B. Finite element analysis for fracture resistance of reattached human tooth fragment with different types of retentive preparation techniques. J Clin Pediatr Dent. 2022;46:81–87.
17.
Dinsha AN, Shanthala BM. Comparative evaluation of fracture resistance of reattached incisor tooth fragments with circumferential bevel, notches, grooves, and palatal cavity. JIDA. 2021;15(12).
18.
Giudice GL, Lipari F, Lizio A, Cervino G, Cicciù M. Tooth fragment reattachment technique on a pluri traumatized tooth. J Conserv Dent. 2012;15(1):80.
| ISSN: | 1730-9980 |
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