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PubMedDate not supplied

The cracked tooth.

Fractured molars and premolars are very common. Fractures usually result from cracks that develop and slowly extend until the tooth separates into buccal and lingual fragments. Sometimes, as these cracks expand, the patient exhibits symptoms of what is commonly referred to as "cracked tooth syndrome" (CTS). When CTS occurs, an opportunity exists to diagnose and treat these patients, to relieve their discomfort and prevent sequelae that would require more extensive treatment.

Cracked Tooth Syndrome↗
PubMed2001

Influence of patient factors on age of restorations at failure and reasons for their placement and replacement.

OBJECTIVE: This study examined the reasons given by a selected group of dental practitioners for placement and replacement of restorations and correlated the data provided with patient factors, such as patients' age and gender, caries risk, occlusal function and oral hygiene, with restoration longevity. METHOD: A group of general dental practitioners (GDPs) were recruited to take part in the study. Each participant was asked to record the reason for placement or replacement of restorations from a list of potential reasons. The age and Class of the restoration being replaced was also recorded, as also was the material being used and the material being replaced. RESULTS: Details of reason for placement/replacement was received on 3196 restorations from 32 GDPs. Of the restorations placed, 54% were amalgam, 32% composite, 8% compomer and 7% glass ionomer. The reasons for placement/replacement of the restorations were principally primary caries (28%), secondary caries (29%), margin fracture (10%), tooth fracture (7%), and non-carious defects (6%). Overall, the mean age of restorations at failure was 7.1 years. Of the patients who received glass ionomer restorations, 29% were rated as having poor oral hygiene, compared with 18% of the patients who received amalgam restorations, 18% of the patients who received composite restorations and 23% of the patients who received compomer restorations. Of the patients who received glass ionomer restorations, 35% were rated as having high caries susceptibility, compared with 27% of those receiving amalgam restorations, 21% of those receiving composite restorations and 30% of those receiving compomer restorations. CONCLUSION: Primary caries was the principal reason for initial restorations. Secondary caries was the most prevalent reason for replacement of restorations. The results also indicate a selective application of different materials for different patients.

Adolescent↗
PubMed2000

Dentine bonding systems: 2. Clinical uses.

As the reliability of dentine bonding agents has improved, the clinical uses of these systems has increased and now include the bonding of directly and indirectly constructed restorations, amalgam bonding and treatment of dentinal sensitivity. Areas of potential use which require further evaluation include pulp capping and the attachment of fractured tooth fragments.

Adhesives↗
PubMedDate not supplied

Compomers, reattachment method expand restoration capabilities.

The purpose of this article is to review one new material and one new technique being used in restorative dentistry today. Compomers, new fluoride-releasing resin restorative materials, are compared to conventional glass ionomers in terms of classification, physical properties, and clinical usage. Compomers are not true glass ionomer materials since the acid/base setting reaction, charactheristic of conventional glass ionomers, does not occur. As a consequence, their physical properties of translucency, coefficient of thermal expansion, and strength more closely resemble composite resins than conventional glass ionomers. These differences in physical properties have clinical implications in their usage. In terms of new techniques, clinical and laboratory data now exist to support the method of reattachment of fractured tooth fragments using only dentin bonding agents, in cases where the tooth fragment is available. This method can restore up to 50 percent of the original strength of intact teeth. The technique advocates the use of acid etching and enamel and dentin bonding, without any tooth preparation. In vitro studies have achieved total (100 percent) restoration of intact teeth by bonding a porcelain veneer to the tooth after the reattachment.

Compomers↗
PubMed1991

Prevalence of traumatized permanent incisors in Jordanian children, according to age, sex and socio-economic class.

The purpose of this retrospective study was to analyse firstly the prevalence of firsty fractured permanent incisors, secondly their distribution according to age, sex and socio-economic class and thirdly the location of the trauma, in a population sample of schoolchildren from Jordan. The sample consisted of 3041 children aged 7-12 years enrolled in 6 public and private schools from the city of Amman and its outskirts. The prevalence of fractured permanent incisors was 10.5% (12.1% in boys and 8.8% in girls). The largest number of injuries was observed in the 11-12 years group (15.0%) and there was an increase of the prevalence of trauma associated with the increase of age. Significantly more boys suffered injuries than girls (P less than 0.01). The teeth most commonly injured were the maxillary central incisors (79.1%) and 85.2% of children sustained one fractured tooth only. The numbers of traumatized children in each of the low and middle socio-economic classes were significantly higher than those in the high socio-economic class.

Age Factors↗
PubMed1993

Coronal fracture with invasion of the biologic width: a case report.

To repair a coronal fracture with invasion of the biologic width, flap surgery with osteotomy and osteoplasty localized on the fractured tooth was performed, and the crown was reattached to the tooth remnant with a composite resin system. Results after 6 years revealed optimal periodontal health and reasonable esthetics.

Adult↗
PubMed1993

Fracture of tooth by internal resorption: case report.

A case of extensive internal resorption of the left mandibular first premolar in a 24 year old man is reported. The case presented with slight discolouration and mobility of the tooth. On radiological examination extensive internal resorption and a fracture line at the cemento enamel region was observed, separating the crown and root. The case was treated endodontically after surgical removal of the fractured fragment of the crown.

Adult↗
PubMed1991

A one-stage calcific barrier technique in a root-fractured incisor tooth: a case report.

This paper describes the use of calcium hydroxide powder as an immediate plug before root canal obturation in the case of a root-fractured upper central incisor that had been unresponsive to 18 months of treatment to create a calcific barrier. The calcium hydroxide plug allowed both good condensation of the filling material and prevention of extrusion of the root filling material which could have been detrimental to continued healing of the fracture.

Calcium Hydroxide↗
PubMed2006

[Three dimensional finite element stress analysis in the vertical fractured first premolar after bonding and replantation].

PURPOSE: To evaluate the change of stress distribution after bonding and replantation of vertical fractured first maxillary premolar. METHODS: The stress distribution in two types of loading and different treatments on the vertical fractured first maxillary premolar were analyzed by three dimensional finite element. The gap was respectively filled with Clearfil SE Bond and Super Bond C & B; and vertical and lateral stress force was calculated. RESULTS: The result of the FEM study of adhesive fracture tooth indicated that the stress distribution was similar to the normal tooth, Clearfil SE Bond was better than Super Bond C & B. CONCLUSION: The treatment of bonding and replantation for vertical fractured tooth is effective.

Bicuspid↗
PubMedDate not supplied

[The expert assessment of the damages to the teeth resulting from an operation for their removal].

Evaluates the causes and mechanisms of tooth fractures occurring during tooth removal, using mathematical simulation methods. Most common sites of tooth destruction during tooth removal are noted. The authors emphasize obligatory thorough examination of a patient before the operation, a detailed description of the status of oral tissues and teeth in the case history, rational choice of instruments, and strict adherence to the protocol of intervention.

Forensic Dentistry↗
PubMed2006

Reattachment of a severely traumatized maxillary central incisor, one-year clinical evaluation: a case report.

Traumatic fracture of anterior teeth is one of the common dilemmas facing the dentist during daily practice. Classical treatment of a fractured tooth involving the pulp includes the use of post and core with or without a crown, or extraction of the remaining part of the fractured tooth and replacement with a three-unit fixed partial denture or an implant. With the improvement of adhesive systems, reattachment of the fractured tooth fragment became possible as a mode of treatment that immediately improves the esthetic quality of the restored tooth. This article presents a clinical technique for the restoration of a fractured maxillary central incisor, by reattaching the labial enamel fragment using a metallic post and resin composite restoration. One-year clinical evaluation revealed successful results for this technique.

Acid Etching, Dental↗
PubMed2000

Management of sports-related crown fractures.

Uncomplicated tooth crown fractures are the most common sports-related mouth injury and can have an excellent outcome if treated appropriately. Many times, however, crown fractures occur at the same time as concussion, luxation, displacement, or even avulsion injuries. This article discusses the treatment for and management of tooth crown fractures from sports-related injuries.

Athletic Injuries↗
PubMed1995

A reattachment technique for fractured incisor tooth fragments: a case history and discussion of alternative techniques.

This paper describes the case history of a patient for whom two fractured central incisor fragments were reattached using an acid etch technique. The case demonstrates a method, which has not been reported previously, using pins to reinforce the attachment. Finally the case shows the failure of the reattachment on one central incisor and subsequent successful treatment by the use of a veneer crown.

Acid Etching, Dental↗