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International Journal of Periodontics & Restorative Dentistry



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Int J Periodontics Restorative Dent 37 (2017), No. 2     17. Feb. 2017
Int J Periodontics Restorative Dent 37 (2017), No. 2  (17.02.2017)

Page 248-253, doi:10.11607/prd.2713, PubMed:28196166

Direct Resin Composite Restoration of Maxillary Central Incisors with Fractured Tooth Fragment Reattachment: Case Report
Szmidt, Monika / Górski, Maciej / Barczak, Katarzyna / Buczkowska-Radlińska, Jadwiga
This article presents a clinical protocol to reconstruct two accidentally damaged maxillary central incisors using composite resin material and a fractured tooth component. A patient was referred to the clinic with fracture of the two maxillary central incisors. Clinical examination revealed that both teeth were fractured in the middle third of the crown and that the fractures involved enamel and dentin with no pulp exposure. The patient had also suffered a lower lip laceration. When the lip was evaluated, a fractured fragment of the maxillary right central incisor was found inside the wound. The missing part of the tooth was replaced via adhesive attachment. Due to the damage of the fractured part of the maxillary left central incisor, direct composite restoration of this tooth was performed. With the advent of adhesive dentistry, the process of fragment reattachment has become simplified and more reliable. This procedure provides improved function, is faster to perform, and provides longlasting effects, indicating that reattachment of a coronal fragment is a realistic alternative to placement of conventional resin composite restorations.