Key Points
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Anterior crown fractures are commonplace in children and adolescents and may affect up to 25% of this patient population.
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If an intact tooth fragment is present after trauma, the incisal edge reattachment procedure presents a conservative, simple and aesthetic treatment.
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Clinical trials and long-term follow-up have reported that reattachment using modern dentine bonding agents or adhesive luting systems may achieve functional and aesthetic success for up to 7 years.
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Reattachment failures may occur with new trauma, parafunction, or horizontal traction. Athletic soft mouthguards and patient education may enhance clinical success.
Abstract
This article presents an overview of the evolution of the incisal edge reattachment procedure. Case reports are described of patients presenting with traumatised teeth in which the reattachment procedure was performed. A review is provided of present in vivo studies detailing long-term success rates in the clinical application of this procedure. Finally, a recommended technique for diagnosis and treatment is offered to improve success in this procedure which may benefit a significant segment of the paediatric and adolescent populations.
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Murchison, D., Burke, F. & Worthington, R. Incisal edge reattachment: indications for use and clinical technique. Br Dent J 186, 614–619 (1999). https://doi.org/10.1038/sj.bdj.4800178
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DOI: https://doi.org/10.1038/sj.bdj.4800178
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