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SURVIVAL OF REATTACHED TOOTH: A SYSTEMATIC REVIEW
1Department of Restorative Dentistry, College of Medicine University of Ibadan/ University College Hospital, Ibadan, Oyo State, Nigeria.
Journal of the West African College of Surgeons
|August 6, 2020
Summary
Tooth fragment reattachment offers a conservative and aesthetic solution for fractured anterior teeth. This review found a fair survival rate, highlighting its viability with proper techniques and materials.
Area of Science:
- Dental Traumatology
- Restorative Dentistry
- Endodontics
Background:
- Tooth fragment reattachment is a widely reported, conservative treatment for fractured anterior teeth.
- Controversy exists regarding the long-term success and longevity of reattached tooth fragments.
- A review of survival rates is necessary to address the uncertainties surrounding this procedure.
Purpose of the Study:
- To determine the survival rate of reattached tooth fragments.
- To assess how storage media, techniques, and materials influence the longevity of reattached restorations.
Main Methods:
- A systematic review of English-language case reports, observational, in vivo, and cross-sectional studies was conducted.
- Searches were performed across multiple databases including PubMed, Cochrane, Web of Science, Scopus, and Google Scholar.
- Data extracted included patient demographics, tooth type, fracture indication, storage media, reattachment materials, and follow-up periods.
Main Results:
- Twenty-five studies involving 29 teeth met the selection criteria.
- The majority of fractures were Ellis class III (72.4%), with tooth type 11 being most common (51.7%).
- Light-cured composite resin was the predominant material used (55.2%), with an average follow-up of 2 years.
Conclusions:
- Tooth fragment reattachment is a simple, cost-effective, and aesthetically pleasing treatment option.
- The procedure demonstrates a fair survival rate for fractured anterior teeth.
- Further assessment of storage media, techniques, and materials is crucial for optimizing longevity.
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