scholarly journals Reattachment of anterior teeth fragments – An unconventional treatment option to regain what is lost: Report of two cases

2019 ◽  
Vol 12 (2) ◽  
pp. 170
Author(s):  
VishnuPratap Singh Rathore ◽  
KarkalaVenkappa Kishan ◽  
Dexter Brave ◽  
MargiSandip Kumar Parikh
2012 ◽  
Vol 37 (5) ◽  
pp. 501-508 ◽  
Author(s):  
F Shirani ◽  
MR Malekipour ◽  
V Sakhaei Manesh ◽  
F Aghaei

SUMMARY Introduction Tooth fragment bonding is an excellent treatment option in dealing with traumatic injuries of the anterior teeth. Rewetting the tooth fragment has been shown to increase restoration durability. The present study examined the effect various dry and wet storage periods had on the reattached fragment's bond to the tooth. Materials and Methods One hundred and eight human mandibular incisors were fractured and assigned to undergo a dehydration period of 30 minutes, six hours, 24 hours, or three days before the rewetting procedure. After fracturing the teeth and drying the fragments, each of the specimens was assigned to one of the three main groups (A, B, or C) intended to evaluate the effect of different rehydration periods. Groups A and B underwent a 30-minute and a 24-hour rewetting period, respectively. Group C served as a control (without a rewetting stage). Tooth fragments were then reattached and prepared for the strength test. Force was applied on the lingual side of the tooth at a 1 mm/min rate until failure. Results The mean loads (N) required to fracture the restored teeth were as follows: 204.43 ± 33.48 N, 322.59 ± 34.62 N, and 253.25 ± 29.05 N for groups A, B, and C, respectively. Two-way analysis of variance (p<0.05) showed that rehydration and dehydration periods as well as their interaction caused significant differences in the strength of the final restoration. Multiple comparison tests showed that, in general, significant differences were not seen among different dehydration times prior to the rewetting stage (p>0.05), except in the case of the 30-minute dehydrated specimens (p<0.05). Conclusion Compared to a 30-minute period, a 24-hour rehydration of the tooth fragment before treatment seems to salvage enough moisture to result in an increase in reattachment strength.


2002 ◽  
Vol 26 (1) ◽  
pp. 1-4 ◽  
Author(s):  
Clarissa Lopes Vieira ◽  
Cecília Cláudia Costa Ribeiro

The early loss of the anterior primary teeth can cause problems in phonation, development of the maxilla and is related to deleterious habits. This case presents the clinical sequence of rehabilitation of upper anterior primary teeth, where endodontic treatments were done. This was followed by the construction of root post using polyethylene ribbon fibers and the fabrication of crowns composed of resin.


2017 ◽  
Vol 12 (4) ◽  
pp. 189-192
Author(s):  
Suraksha Shrestha ◽  
Sanjay Sah

Removable partial denture is a treatment option where fixed prosthesis is not indicated. Due to its esthetic problems in the anterior region various modifications have been designed for its fabrication. This article describes an esthetic alternative using a round rest distal depression clasp for maxillary anterior teeth abutment while restoring the missing teeth with a cast partial denture.


2021 ◽  
Vol 11 (18) ◽  
pp. 8736
Author(s):  
Chie Tachiki ◽  
Yasushi Nishii ◽  
Masae Yamamoto ◽  
Takashi Takaki

Temporary anchorage devices (TADs) allow molar intrusion as an additional treatment option to conventional treatment for open bite cases. We investigated the treatment option criteria for open bite treatment. A total of 33 patients with skeletal Class I to Class II open bite who had stable occlusion one year after treatment were enrolled in the study, including 15 patients who had undergone surgical orthodontic treatment, 8 patients who had undergone treatment with molar intrusion, and 10 patients who had undergone treatment with anterior teeth extrusion. Pre-treatment cephalometric analysis of these patients was used for comparison. Furthermore, receiver operating characteristic (ROC) curve analysis was employed to examine the measurement parameters that would be valid as treatment criteria. In the results, FMA showed that patients treated with molar intrusion had a moderately high angle, while those treated with surgical orthodontic treatment had a severe high angle. The area under the curve (AUC) of the ROC curve indicated that FMA is the most appropriate parameter for treatment option criteria. In addition, the cutoff value indicated that the borderline between molar intrusion and surgical orthodontic treatment was 37.5° for FMA. In this study, we suggested criteria for the treatment of open bite with molar intrusion.


2018 ◽  
Vol 6 (02/03) ◽  
pp. 129-133
Author(s):  
Sanjan Verma ◽  
Manjit Kumar ◽  
Ritu Batra ◽  
Chhavi Sharma ◽  
Shak Mehta

AbstractThe patient with complete edentulous maxillary arch and partially edentulous mandibular arch poses certain complication in the form of syndrome which was described by Kelly in 1972. There is flabby tissue in the anterior maxilla and posterior occlusal plane slope-down. There is supraeruption of lower anterior teeth, fibrous growth of tuberosity area, resorption of bone in the posterior mandibular ridges, and loss of vertical dimension of occlusion. The treatment varies from patient to patient to develop this syndrome and also varies from condition of the remaining teeth. Best treatment option is to use dental implants, but conventional prostheses are used in complex cases. This clinical report presents the prosthetic rehabilitation of a patient exhibiting combination syndrome.


2021 ◽  
Vol 9 ◽  
pp. 2050313X2110367
Author(s):  
Ibtissem Grira ◽  
Boutheina Mahjoubi ◽  
Raouaa Belkacem Chebil ◽  
Adel Amor ◽  
Nabiha Douki

Crown-lengthening procedures are necessary to rehabilitate supracrestal insertion tissue and to guarantee a suitable dental restoration. The objective of this article was to report a surgical extrusion procedure as a treatment option for a fractured anterior tooth. A 24-year-old male patient presented to our department to rehabilitate his maxillary right lateral incisor. The tooth was fractured due to a trauma and presented a healthy periodontium. Endodontic treatment was performed before the surgical extrusion. A fixed crown was cemented after complete reduction of tooth mobility after 6 months. No complication was observed at 6 months post-operatively. A minimally traumatic surgical extrusion technique provided highly successful results in both functional and esthetic aspects, especially in the anterior region, where the latter is of great interest.


2021 ◽  
Vol 55 (8) ◽  
Author(s):  
Muhammad Dimas Aditya Ari ◽  
Abil Kurdi ◽  
Yonatan Christian Suisan ◽  
Harry Laksono

A 19-year-old female patient came with the chief complaint that the upper anterior teeth looked small and with many spaces. The patient claimed that the tooth had never been replaced since birth. The patient wanted to improve the aesthetics of the tooth. Treatment, in this case, was made using a fixed prosthetic to aesthetically rehabilitate through prosthodontic treatment in the anterior teeth agenesis followed by attrition. It can be concluded that fixed prosthodontic treatment using a splint bridge is one treatment option that can be used in multiple anterior teeth agenesis followed by tooth wear. An appropriate material selection increases the aesthetics and functional aspects of the final treatment.


2021 ◽  
Vol 28 ◽  
pp. 8-14
Author(s):  
Zethy Hanum Mohamed Kassim ◽  
Abdul Latif Abdul Hamid ◽  
Nadhirah Ghazali ◽  
Puvanendran Balasingham

Management of traumatic dental injuries (TDI) in a young patient may range from simple to complex. In a situation where teeth are lost, a reliable and conservative treatment option is an implant-supported fixed dental prosthesis (i-FDP), as this treatment option negates the need to prepare sound abutment teeth as in the case of conventional fixed bridges. However, the placement of implants is usually prosthetically driven to allow for a 3D functional and aesthetic restoration. In the presence of severe skeletal Class III malocclusion, treatment may incorporate pre-surgical orthodontic treatment, followed by jaw surgery to correct the skeletal discrepancies and finally post-surgical orthodontic treatment before the rehabilitation with implants. A multidisciplinary treatment approach in a stepwise manner is required to address the patient’s overall treatment needs. This case report presents a joint prosthodontics, orthodontics and oral maxillofacial surgical management of a young adult male patient with a Skeletal Class III malocclusion who required rehabilitation of avulsed missing anterior teeth sustained from childhood TDI. The severity of the skeletal relationship required a Le Fort I maxillary advancement and a bilateral sagittal split osteotomy for the setback of the mandible in combination with orthodontics for correction of malocclusion and arch relationship prior to implant placement. Correction of the malocclusion and jaw deformity allowed the functional and aesthetic rehabilitation of the missing teeth using an i-FDP.


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