• The Journal of the Korean dental association
• /
• v.54 no.7
• /
• pp.492-500
• /
• 2016

Crown fractures are a common type of dental injuries and very frequently occurred on maxillary anterior teeth, area of requiring a rapid aesthetic recovery. Crown fragment reattachment is a simple and conservative method to restore the fractured teeth. The technique promotes esthetic outcomes as utilizing natural contour, shade, surface texture of teeth and gives mechanical similarity in terms of wear-resistance. Also it gives emotional positive responses to patients and requires less of chair time and costs. This case report presents two cases of crown fragment reattachments on maxillrary anterior teeth, including one complicated crown fracture and one uncomplicated crown fracture. If the fragment is available in cases of crown fractures, reattachment of fragment can be regarded as a predictable alternative. However, it is all the time important that a close conversation informing the patients about the limitations and prognoses of this treatment option.

• The Journal of the Korean dental association
• /
• v.22 no.10 s.185
• /
• pp.828-828
• /
• 1984

• Journal of the korean academy of Pediatric Dentistry
• /
• v.30 no.4
• /
• pp.715-721
• /
• 2003

Dental injuries with crown fracture occur frequently, especially in young patient Reattachment of the crown fragment has been shown to yield good esthetic results in that original tooth anatomy is restored with a material that abrades at a rate indntical to that of the adjacent tooth substance and at the same time permits continual monitoring of pulpal status through the fragment. Case 1 was complicated crown fracture with pin-point bleed ing, that was treated by direct pulp capping with calcium hydroxide and fragment reattachment. Case 2 was in trusive luxation with complicated crown fracture and was treated by pulp treatment and fragment reattachment. Case 3 was uncomplicated crown fracture, and fracture line involved slightly biologic width and treated by reattachment of the crown fragment.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.49 no.1
• /
• pp.104-112
• /
• 2022

The purpose of this study is to analyze the fracture resistance of reattached tooth according to the resin materials and tooth preparation type under physiological conditions. Uncomplicated crown fracture in the oblique direction was reproduced on the extracted 64 anterior teeth. Depending on the composite resin material, reattachment was performed using a flowable resin and a packable resin. Depending on retentive forms, reattachment was performed using simple reattachment, 1.0 mm × 1.0 mm labial chamfer bevel, 1.0 mm × 1.0 mm lingual chamfer bevel and 1.0 mm × 1.0 mm circumferential bevel. A load was applied to the palatal surface of the tooth using a universal testing machine at an angle of 125 degree, which is the interincisal angle of normal children. Under the masticatory pressure condition, fracture resistance of lingual chamfer groups was 28.28 ± 7.41 MPa and 27.54 ± 4.45 MPa, which was significantly higher than those of simple reattachment groups, 17.21 ± 5.87 MPa and 20.10 ± 6.00 MPa, in both flowable and packable resin groups. When considering the lingual force similar to masticatory pressure, the fragment retention was significantly improved when the lingual chamfer was formed compared to the simple reattachment. Clinicians may consider the design of the lingual chamfer in order to improve fracture resistance to masticatory pressure during fragment reattachment.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.36 no.2
• /
• pp.288-292
• /
• 2009

A crown-root fracture is defined as a fracture involving enamel, dentin, and cementum. The fractures may be grouped according to pulpal involvement into uncomplicated and complicated. Generally a vertically crown-root fractured tooth must be extracted. However, it should be mentioned that the cases have been reported where bonding of the coronal fragment has led to consolidation of the intraalveolar part of the fracture. Definitive conservative therapy comprises one of four treatment alternatives; fragment removal only, fragment removal with gingivectomy, orthodontic extrusion of apical fragment, and surgical extrusion of apical fragment. The choice is primarily determined by the exact information on the site and the type of fracture, but the cost and the complexity of treatment can also be decisional factors. On the other hand, intentional replantation of the teeth with vertical root facture reconstructed with resin bonding has emerged as a new promising method in recent years. This case presents an intentional replantation of the crown-root fractured maxillary central incisor reconstructed with resin bonding. However, an obvious increase of radiolucency was observed after 4 months and the tooth was re-fractured after 16 months.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.36 no.1
• /
• pp.43-52
• /
• 2010

Purpose: To research about maxillofacial traumatic injuries of children in aspects of gender difference, various incidence rates between age, trauma type, cause, monthly and daily incidence rate, type of tooth damage, gingival damage, soft tissue damage, and type of facial bone fracture. Materials and methods: Study group consisted of children under 15 years of age who visited Dental Hospital, School of Dentistry, Kyung Hee University from 2004/7/1 to 2007/6/30 with chief complaint of oral and maxillofacial traumatic injuries. 1,559 cases of traumatic injuries were studied from 1,556 (1,004 male, 552 female) children. Conclusion: 1. There were slightly more boys than girls, giving a male-to-female ratio of 1.82:1.0. The 1-3 year old boys and girls had the highest number of traumatic injuries. 2. Of the 1,556 patients, 68.63% had soft tissue injuries, 50.22% had periodontal injuries, 29.89% had teeth injuries, and 3.85% had maxillofacial bone fractures. 3. Falling down was the most common cause of injury in both sexes. 4. The months with the highest incidence rates were in order May (12.12%), June (11.74%), and October (11.13%). Most of the injuries occurred on weekends. 5. The most common tooth injury was uncomplicated crown fracture, and the most common periodontal injury was subluxation. The majority of traumatizes teeth were the upper central incisors. 6. The most common soft tissue injury was intraoral lacerations. 7. Mandibular fractures were most frequent in facial bone fractures; symphysis, condylar head, and angle fractures were most frequent in mandibular fractures; maxillary and nasal bone fractures were most frequent in midfacial bone fractures.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.41 no.4
• /
• pp.314-321
• /
• 2014

This study investigated the pattern and treatment of traumatic dental injury (TDI), with respect to the time elapsed prior to the initial visit to the Department of Pediatric Dentistry, Chonnam National University Dental Hospital for TDI, from January 2009 to December 2013. The dental trauma records of a total of 378 patients (940 traumatic teeth) were analyzed. The prevalence rate of dental trauma was twofold higher in males versus females. The principal cause of injury, among all participants, was falling (36.5%). The most commonly affected teeth were the maxillary central incisors (66.9%). Subluxation (43.9%) represented the most common trauma for primary teeth, and uncomplicated crown fracture in permanent teeth (30.9%). Only 10% of patients visited the dental clinic within 1 hour of sustaining trauma. The principal treatment provided for primary teeth, during the initial clinical visit, was follow-up (53.2%); for permanent teeth it was root canal treatment (27.3%). The prevalence of root canal treatment for permanent teeth increased commensurate with the time elapsed since injury. These data suggest that delayed checkup following trauma may increase the risk of loss of pulp vitality.