Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach

This report describes the 10-year follow-up data of a patient who underwent fragment reattachment to the maxillary central incisor after coronal fracture with pulp exposure as well as the procedures followed for functional and esthetic adjustments. A 9-year-old female patient presented at the clinic...

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Main Authors: Luiz Mendes, Laisa Laxe, Leandro Passos
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2017/2106245
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author Luiz Mendes
Laisa Laxe
Leandro Passos
author_facet Luiz Mendes
Laisa Laxe
Leandro Passos
author_sort Luiz Mendes
collection DOAJ
description This report describes the 10-year follow-up data of a patient who underwent fragment reattachment to the maxillary central incisor after coronal fracture with pulp exposure as well as the procedures followed for functional and esthetic adjustments. A 9-year-old female patient presented at the clinic of dentistry at the State University of Rio de Janeiro with a coronal fracture and pulp exposure of the right maxillary central incisor that had occurred immediately after an accident. The intact tooth fragment was recovered at the accident site and stored in milk. The treatment plan followed was to perform direct pulp capping and tooth fragment reattachment. When the patient was 14 years old, adhesion between fragment and remaining tooth was lost, and fragment reattachment was performed. Five years later, the same tooth presented clinical discoloration and absence of sensitivity during pulp vitality tests. Subsequently, a new treatment plan was formulated, which included endodontic treatment, followed by nonvital tooth bleaching and light-cured composite resin restoration. An esthetic and natural-looking restoration was achieved. Tooth fragment reattachment is not a temporary restorative technique and requires functional and esthetic adjustments over time to maintain the biomimetic characteristics of traumatized anterior teeth and predictable outcomes.
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spelling doaj-art-9bf2028108e140e3a2e6af2d654a0b6b2025-08-20T02:18:28ZengWileyCase Reports in Dentistry2090-64472090-64552017-01-01201710.1155/2017/21062452106245Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative ApproachLuiz Mendes0Laisa Laxe1Leandro Passos2Department of Restorative Dentistry, Federal Fluminense University, Health Institute of Nova Friburgo, School of Dentistry, Rua Doutor Silvio Henrique Braune 22, 28625-650 Nova Friburgo, RJ, BrazilDepartment of Restorative Dentistry, Federal University of Juiz de Fora, School of Dentistry, Rua Israel Pinheiro 2000, Bloco D9, Bairro Universitário, 35020-220 Governador Valadares, MG, BrazilDepartment of Prosthetic Dentistry, Federal Fluminense University, Health Institute of Nova Friburgo, School of Dentistry, Rua Doutor Silvio Henrique Braune 22, 28625-650 Nova Friburgo, RJ, BrazilThis report describes the 10-year follow-up data of a patient who underwent fragment reattachment to the maxillary central incisor after coronal fracture with pulp exposure as well as the procedures followed for functional and esthetic adjustments. A 9-year-old female patient presented at the clinic of dentistry at the State University of Rio de Janeiro with a coronal fracture and pulp exposure of the right maxillary central incisor that had occurred immediately after an accident. The intact tooth fragment was recovered at the accident site and stored in milk. The treatment plan followed was to perform direct pulp capping and tooth fragment reattachment. When the patient was 14 years old, adhesion between fragment and remaining tooth was lost, and fragment reattachment was performed. Five years later, the same tooth presented clinical discoloration and absence of sensitivity during pulp vitality tests. Subsequently, a new treatment plan was formulated, which included endodontic treatment, followed by nonvital tooth bleaching and light-cured composite resin restoration. An esthetic and natural-looking restoration was achieved. Tooth fragment reattachment is not a temporary restorative technique and requires functional and esthetic adjustments over time to maintain the biomimetic characteristics of traumatized anterior teeth and predictable outcomes.http://dx.doi.org/10.1155/2017/2106245
spellingShingle Luiz Mendes
Laisa Laxe
Leandro Passos
Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
Case Reports in Dentistry
title Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
title_full Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
title_fullStr Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
title_full_unstemmed Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
title_short Ten-Year Follow-Up of a Fragment Reattachment to an Anterior Tooth: A Conservative Approach
title_sort ten year follow up of a fragment reattachment to an anterior tooth a conservative approach
url http://dx.doi.org/10.1155/2017/2106245
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AT laisalaxe tenyearfollowupofafragmentreattachmenttoananteriortoothaconservativeapproach
AT leandropassos tenyearfollowupofafragmentreattachmenttoananteriortoothaconservativeapproach