Journal of the korean academy of Pediatric Dentistry (대한소아치과학회지)

Korean Academy of Pediatric Dentistry (대한소아치과학회)
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Long-Term Outcome of Reattached Tooth Fragment in Permanent Anterior Teeth of Children and Adolescents

소아 및 청소년의 영구치 치관 파절시 파절편 재부착술의 추적 관찰

  • Kang, Hoyeon (Department of Pediatric Dentistry, Graduate School, Kyung Hee University) ;
  • Chae, Yongkwon (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Lee, Koeun (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Lee, Hyo-seol (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Choi, Sungchul (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University) ;
  • Nam, Okhyung (Department of Pediatric Dentistry, School of Dentistry, Kyung Hee University)
  • 강호연 (경희대학교 대학원 치의학과 소아치과학교실) ;
  • 채용권 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이고은 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 이효설 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 최성철 (경희대학교 치의학전문대학원 소아치과학교실) ;
  • 남옥형 (경희대학교 치의학전문대학원 소아치과학교실)
  • Received : 2020.08.14
  • Accepted : 2020.10.12
  • Published : 2021.02.28
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Abstract

This study aimed to evaluate the long-term outcomes of teeth treated with reattachment technique in children and adolescents. Twenty seven permanent anterior teeth from 21 patients treated with fragment reattachment were evaluated. Clinical photos and medical records were used to assess treatment outcomes. Effect of pulp treatment and the ratio of fragment on success rate were statistically analyzed. Detachment of fragment was observed in 17 teeth, and their duration of retention was 21.41 ± 23.39 months. Repeated trauma was found to be the most frequent causes of failure. Pulp treatment before reattachment did not affect the success rate (p > 0.05). The mean ratio of fragment was 0.482 ± 0.147, and the success rate was affected by the ratio of fragment (p = 0.018). The median retention time of the teeth was 72 months if the ratio was under 0.5, and 8 months for that of the others. A significant correlation was found between the ratio of fragment and retention time (p = 0.003). Reattachment can be a predictable treatment option for crown fracture in anterior teeth in children and adolescents when a fracture involves less than 50% of the clinical crown.

이 연구의 목적은 소아 및 청소년의 영구치 치관 파절시 파절편 재부착술의 추적 관찰 결과를 평가하고자 함에 있다. 21명의 27개의 영구치 파절편 재부착술을 시행한 환자를 대상으로 임상 사진, 방사선 사진 및 의무기록을 활용하여 평가하였다. 파절편 탈락은 총 17개 치아에서 관찰되었으며 반복적인 외상이 가장 빈번한 실패 원인이었다. 파절편 재부착술과 치수치료 시행 유무는 통계적으로 유의미하지 않았다(p > 0.05). 평균 파절편 비율은 0.482 ± 0.147이며 성공률은 파절편 비율과 유의미한 상관관계를 나타냈다(p = 0.018). 평균 파절편 유지 기간은 72개월이며 파절편 유지 기간과 파절편의 비율은 통계적으로 유의미한 상관관계를 나타냈다(p = 0.003). 소아 및 청소년의 영구치 치관 파절시 파절편 비율이 50% 미만인 환자에서 파절편 재부착술은 예측 가능한 치료 방법이 될 수 있다고 판단된다.

Keywords

References

  1. Lam R : Epidemiology and outcomes of traumatic dental injuries: a review of the literature. Aust Dent J, 1:4-20, 2016. https://doi.org/10.1111/adj.12395
  2. Glendor U : Epidemiology of traumatic dental injuries-a 12 year review of the literature. Dent Traumatol, 24:603-611, 2008. https://doi.org/10.1111/j.1600-9657.2008.00696.x
  3. Traebert J, Lacerda JT, Foster Page LA, et al. : Impact of traumatic dental injuries on the quality of life of schoolchildren. Dent Traumatol, 28:423-428, 2012. https://doi.org/10.1111/j.1600-9657.2012.01114.x
  4. Bendo CB, Paiva SM, Abreu MH, et al. : Impact of traumatic dental injuries among adolescents on family's quality of life: a population-based study. Int J Paediatr Dent, 24:387-396, 2014. https://doi.org/10.1111/ipd.12083
  5. Rajab LD, Abu Al Huda D : Impact of treated and untreated traumatic dental injuries on oral health-related quality of life among 12-year-old schoolchildren in Amman. Dent Traumatol, 35:153-162, 2019. https://doi.org/10.1111/edt.12466
  6. Macedo GV, Diaz PI, De OFCA, Ritter AV : Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent, 20:5-18, 2008. https://doi.org/10.1111/j.1708-8240.2008.00142.x
  7. Garcia FCP, Poubel DLN, Almeida JCF, et al. : Tooth fragment reattachment techniques-A systematic review. Dent Traumatol, 34:135-143, 2018. https://doi.org/10.1111/edt.12392
  8. Lise DP, Vieira LC, Araujo E, Lopes GC : Tooth fragment reattachment: the natural restoration. Oper Dent, 37:584-590, 2012. https://doi.org/10.2341/12-063-T
  9. Reis A, Francci C, Loguercio AD, et al. : Re-attachment of anterior fractured teeth: fracture strength using different techniques. Oper Dent, 26:287-294, 2001.
  10. Martos J, Pinto KVA, Miguelis TMF, Xavier CB : Management of an uncomplicated crown fracture by reattaching the fractured fragment-case report. Dent Traumatol, 33:485-489, 2017. https://doi.org/10.1111/edt.12369
  11. Panchal D : A case report of uncomplicated crown fracture: tooth fragment reattachment. Br Dent J, 227:259-263, 2019. https://doi.org/10.1038/s41415-019-0630-y
  12. Grossmann Y, Arauz-Dutari J, Chogle SM, et al. : A conservative approach for the management of a crown-root fracture. Quintessence Int, 37:753-759, 2006.
  13. Rajput A, Ataide I, Fernandes M : Uncomplicated crown fracture, complicated crown-root fracture, and horizontal root fracture simultaneously treated in a patient during emergency visit: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107:48-52, 2009.
  14. Pusman E, Cehreli ZC, Altay N, et al. : Fracture resistance of tooth fragment reattachment: effects of different preparation techniques and adhesive materials. Dent Traumatol, 26:9-15, 2010. https://doi.org/10.1111/j.1600-9657.2009.00855.x
  15. de Alcantara CE, Correa Faria P, Vasconcellos WA, RamosJorge ML : Combined technique with dentin post reinforcement and original fragment reattachment for the esthetic recovery of a fractured anterior tooth: a case report. Dent Traumatol, 26:447-450, 2010. https://doi.org/10.1111/j.1600-9657.2010.00902.x
  16. Yilmaz Y, Zehir C, Eyuboglu O, Belduz N : Evaluation of success in the reattachment of coronal fractures. Dent Traumatol, 24:151-158, 2008. https://doi.org/10.1111/j.1600-9657.2007.00532.x
  17. Andreasen FM, Noren JG, Andreasen JO, et al. : Long-term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int, 26:669-681, 1995.
  18. Lo Giudice G, Alibrandi A, Cicciu M, et al. : The coronal tooth fractures: preliminary evaluation of a three-year follow-up of the anterior teeth direct fragment reattachment technique without additional preparation. Open Dent J, 11:266-275, 2017. https://doi.org/10.2174/1874210601711010266
  19. Vural UK, Kiremitci A, Gokalp S : Clinical performance and epidemiologic aspects of fractured anterior teeth restored with a composite resin: a two-year clinical study. J Prosthodont, 28:204-209, 2019.
  20. Glendor U, Koucheki B, Halling A : Risk evaluation and type of treatment of multiple dental trauma episodes to permanent teeth. Endod Dent Traumatol, 16:205-210, 2000. https://doi.org/10.1034/j.1600-9657.2000.016005205.x
  21. Newsome PR, Tran DC, Cooke MS : The role of the mouthguard in the prevention of sports-related dental injuries: a review. Int J Paediatr Dent, 11:396-404, 2001. https://doi.org/10.1046/j.0960-7439.2001.00304.x
  22. Haller B : Recent developments in dentin bonding. Am J Dent, 13:44-50, 2000.
  23. Chazine M, Sedda M, Ounsi HF, et al. : Evaluation of the fracture resistance of reattached incisal fragments using different materials and techniques. Dent Traumatol, 27:15-18, 2011. https://doi.org/10.1111/j.1600-9657.2010.00951.x
  24. Brambilla GP, Cavalle E : Fractured incisors: a judicious restorative approach- part 1. Int Dent J, 57:13-18, 2007. https://doi.org/10.1111/j.1875-595X.2007.tb00113.x