Kırık Diş Parçasının Yeniden Yapıştırılması: Sistematik Derleme ve Olgu Serisi

Yıl 2023, Cilt: 2 Sayı: 3, 251 - 265, 26.01.2024

Kardelen Beşkardeş , Yeliz Güven

https://doi.org/10.58711/turkishjdentres.vi.1356947

Öz

Amaç: Bu çalışmanın amacı reataçman restorasyonlarının restoratif ve biyolojik başarılarının sistematik bir şekilde değerlendirilmesi ve ön diş kuron kırığı sonrası reataçmanı gerçekleştirilen beş olguyu içeren bir olgu serisinin sunulmasıdır. Gereç ve Yöntem: PubMed, Scopus, Web of Science ve Ebsco veri tabanlarında ‘dental trauma’, ‘dental injury’, ‘crown fracture’, ‘dental reattachment’, ‘fragment reatachment’, ‘fragment bonding’ anahtar kelimeleri kullanılarak son on yıl içerisinde İngilizce ve Türkçe dillerinde yayınlanmış olan ve kuron kırığı görülen daimî ön dişlerde kırık parçanın yeniden yapıştırılması ile ilgili çalışmalar taranmıştır. Olgu serisinde ise 5 olguda gözlenen 2 komplike ve 4 komplike olmayan kuron kırığının, reataçman tekniği ile tedavisi bildirilmiştir.
Bulgular: Tarama sonucunda, üç prospektif klinik çalışma ve yedi olgu bildirimi derleme için seçilmiştir. Sistematik derlemeye dahil edilen 266 dişin 92’inde (%34,5) komplike kuron kırığı, 174’ünde (%65,5) komplike olmayan kuron kırığı gözlenmiştir. Olguların %83,4’ü basit yapıştırma tekniğini ile restore edilmiştir, diğer olgularda ise mine bizotajı (%14,3), iç dentin oluğu (%1,5), vertikal retantif oluk (%0,4)
preparasyonları uygulanmıştır. Sistematik derlemeye dahil edilen olguların %73,7’si takip süreleri boyunca başarılı olarak bildirilmiştir. Olgu serisinde sunulan 5 reataçman restorasyonu içerisinde, kırık parçanın uzun süre ağız dışında kuru halde saklandığı ve kırık hattının dişeti sınırına kadar uzandığı bir
komplike kuron kırığı olgusunda reataçman restorasyonu başarısız olmuşken, diğer olguların 1 yıllık takibinde herhangi bir patolojiye rastlanmamıştır.
Sonuç: İncelenen araştırmaların sınırları dahilinde, kırık parçanın saklanma koşulları, rehidratasyon uygulamaları, parçanın yapıştırılmasında kullanılan materyal, kırığın tipi, parçanın boyutu, diş ve kırık parça üzerinde yapılan preparasyonlar gibi faktörlerin restorasyonun başarısı
üzerinde etkili olabileceği sonucuna varılmıştır.

Anahtar Kelimeler

diş kırıkları, diş yaralanmaları, diş restorasyonları

Reattachment of Fractured Tooth Fragments: A Systematic Review and a Case Series

Öz

Aim: One of the treatment modalities for crown fractures in anterior teeth is reattachment of the fractured tooth fragment. Despite the existence of various reported techniques for this procedure, a consensus on the most clinically effective approach is yet to be established. The objective of this study
is to systematically evaluate the restorative and biological outcomes of reattachment restorations and to present a case series comprising five cases of reattachment of the fractured segments in crown fractures.
Material and Methods: A literature search was carried out in April 2023 using the keywords ‘dental trauma’, ‘dental injury’, ‘crown fracture’, ‘dental reattachment’, ‘fragment reattachment’, ‘fragment bonding’ across the PubMed, Scopus, Web of Science and Ebsco databases. The search
was subsequently updated in June 2023. The present study encompassed case reports, prospective and retrospective clinical studies, as well as in vivo studies published in English and Turkish languages within the past ten years, focusing on the reattachment of fractured segments in permanent anterior
teeth affected by crown fractures.
Results: Three retrospective clinical studies and seven case series were selected for this review.
Conclusion: Within the limitations of the examined research, it was concluded that factors such as the storage conditions of the fractured fragment, rehydration techniques, the bonding material employed for fragment reattachment, fracture type, fragment size, tooth preparations, and fragment preparations may significantly influence the success of the restoration.

Anahtar Kelimeler

tooth fractures, tooth injuries, dental restoration

Kaynakça

• 1. Slayton RL, Palmer EA. Permanent Tooth Crown and Root Fractures. Traumatic Dental Injuries in Children: A Clinical Guide to Management and Prevention. Cham: Springer International Publishing; 2020. p. 77-110.
• 2. Chosack A, Eidelman E. Rehabilitation of a fractured incisor using the patient’s natural crown. Case report. J Dent Child. 1964;31(1):19-21.
• 3. Soxman JA. Reattachment of permanent incisor enamel fragments. Handbook of Clinical Techniques in Pediatric Dentistry 2015. p. 157-61.
• 4. Pusman E, Cehreli ZC, Altay N, Unver B, Saracbasi O, Ozgun G. Fracture resistance of tooth fragment reattachment: effects of different preparation techniques and adhesive materials. Dent Traumatol. 2010;26(1):9-15. doi: 10.1111/j.1600-9657.2009.00855.x. PMID: 20089057.
• 5. Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent. 2004 ;29(2):226-33. PMID: 15088736.
• 6. Brambilla GP, Cavallè E. Fractured incisors: a judicious restorative approach--part 1. Int Dent J. 2007;57(1):13- 8. doi: 10.1111/j.1875-595x.2007.tb00113.x. PMID: 17378345.
• 7. Bourguignon C, Arhakis A, Sigurdsson A, Kotsanos N. Dentoalveolar Trauma of Children and Adolescents. In: Kotsanos N, Sarnat H, Park K, editors. Pediatric Dentistry. Cham: Springer International Publishing; 2022. p. 363- 413.
• 8. de Sousa APBR, França K, de Lucas Rezende LVM, do Nascimento Poubel DL, Almeida JCF, de Toledo IP, Garcia FCP. In vitro tooth reattachment techniques: A systematic review. Dent Traumatol. 2018;34(5):297-310. doi: 10.1111/ edt.12414. PMID: 29888490.
• 9. Andreasen FM, Norén JG, Andreasen JO, Engelhardtsen S, Lindh-Strömberg U. Long-term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int. 1995;26(10):669-81. PMID: 8935108.
• 10. Yilmaz Y, Guler C, Sahin H, Eyuboglu O. Evaluation of tooth-fragment reattachment: a clinical and laboratory study. Dent Traumatol. 2010;26(4):308-14. doi: 10.1111/j.1600- 9657.2010.00907.x. PMID: 20662883.
• 11. Reis A, Kraul A, Francci C, de Assis TG, Crivelli DD, Oda M, Loguercio AD. Re-attachment of anterior fractured teeth: fracture strength using different materials. Oper Dent. 2002;27(6):621-7. PMID: 12413229.
• 12. Bhargava M, Pandit IK, Srivastava N, Gugnani N, Gupta M. An evaluation of various materials and tooth preparation designs used for reattachment of fractured incisors. Dent Traumatol. 2010 Oct;26(5):409-12. doi: 10.1111/j.1600- 9657.2010.00913.x. Erratum in: Dent Traumatol. 2010;26(6):532. PMID: 20831637.
• 13. Garcia FCP, Poubel DLN, Almeida JCF, Toledo IP, Poi WR, Guerra ENS, Rezende LVML. Tooth fragment reattachment techniques-A systematic review. Dent Traumatol. 2018;34(3):135-143. doi: 10.1111/edt.12392. Epub 2018;26. PMID: 29512861.
• 14. Capp CI, Roda MI, Tamaki R, Castanho GM, Camargo MA, de Cara AA. Reattachment of rehydrated dental fragment using two techniques. Dent Traumatol. 2009;25(1):95-9. doi: 10.1111/j.1600-9657.2008.00715.x. PMID: 19208019.
• 15. Loguercio AD, Mengarda J, Amaral R, Kraul A, Reis A. Effect of fractured or sectioned fragments on the fracture strength of different reattachment techniques. Oper Dent. 2004;29(3):295-300. PMID: 15195730.
• 16. Yikilgan İ, Guven N, Kedici Alp C, Tokar E, Topuz O, Kamak H. Efficacy of Palatal Applications on Fracture Resistance of Reattached Maxillary Central Incisors: An In Vitro Study. Appl Bionics Biomech. 2017;2017:9124545. doi: 10.1155/2017/9124545. Epub 2017 Dec 26. PMID: 29440865; PMCID: PMC5758857.
• 17. Srilatha JS, Chhasatia N, Rani P, Mathur E. Reattachment of fractured anterior teeth-determining fracture strength using different techniques: an in vitro study. J Contemp Dent Pract. 2012;13(1):61-5.
• 18. Haupt F, Meyerdiercks C, Kanzow P, Wiegand A. Survival analysis of fragment reattachments and direct composite restorations in permanent teeth after dental traumatic injuries. Dent Traumatol. 2023;39(1):49-56. doi: 10.1111/ edt.12789. Epub 2022 Sep 18. PMID: 36116107.
• 19. Sarapultseva M, Sarapultsev A. Long-term results of crown fragment reattachment techniques for fractured anterior teeth: A retrospective case-control study. J Esthet Restor Dent. 2019;31(3):290-4.
• 20. Chazine M, Sedda M, Ounsi HF, Paragliola R, Ferrari M, Grandini S. Evaluation of the fracture resistance of reattached incisal fragments using different materials and techniques. Dent Traumatol. 2011;27(1):15-8.
• 21. Bruschi-Alonso RC, Alonso RC, Correr GM, Alves MC, Lewgoy HR, Sinhoreti MA, Puppin-Rontani RM, Correr- Sobrinho L. Reattachment of anterior fractured teeth: effect of materials and techniques on impact strength. Dent Traumatol. 2010;26(4):315-22. doi: 10.1111/j.1600- 9657.2010.00906.x. PMID: 20662884.
• 22. Lokade A, Tewari N, Goel S, Mathur VP, Srivastav S, Rahul M. Comparative evaluation of fragment reattachment protocols for the management of teeth with crown-root fractures. Dent Traumatol. 2022;38(4):319-324. doi: 10.1111/edt.12745. Epub 2022 Mar 12. PMID: 35278343.
• 23. Chaurasia B, Tewari N, Mathur VP, Nag TC, Yadav SC, Rahul M, Mishra D, Bansal K. Evaluation of two rehydration protocols for fractured tooth fragments for characteristics of penetration of resin tags using confocal laser scanning microscopy. Dent Traumatol. 2023;39(2):157-164. doi: 10.1111/edt.12807. Epub 2022 Nov 21. PMID: 36409272.
• 24. Poubel DLN, Almeida JCF, Dias Ribeiro AP, Maia GB, Martinez JMG, Garcia FCP. Effect of dehydration and rehydration intervals on fracture resistance of reattached tooth fragments using a multimode adhesive. Dent Traumatol. 2017;33(6):451-457. doi: 10.1111/edt.12344. Epub 2017 Jun 15. PMID: 28419716.
• 25. Tuzuner T, Turgut S, Ozen B, Kılınç H, Bagiş B. Storing Tooth Segments for Optimal Esthetics. J Clin Pediatr Dent. 2016;40(2):113-7.
• 26. Brasil Maia G, Pereira RV, Poubel DLDN, Almeida JCF, Dias Ribeiro AP, Rezende LVML, Garcia FCP. Reattachment of fractured teeth using a multimode adhesive: Effect of different rewetting solutions and immersion time. Dent Traumatol. 2020;36(1):51-57. doi: 10.1111/edt.12506. Epub 2019 Sep 8. PMID: 31373162.27.
• 27. Goyal A, Rathore M, Devi P, Singh SK. Fragment Reattachment of Immature Permanent Incisors: Clinical Procedures and the Development of an Algorithm. J Pediatr Dent. 2022;8(1):51-8. DOI: 10.14744/JPD.2021.10_70.
• 28. Bissinger R, Müller DD, Hickel R, Kühnisch J. Survival analysis of adhesive reattachments in permanent teeth with crown fractures after dental trauma. Dent Traumatol. 2021;37(2):208-214. doi: 10.1111/edt.12613. Epub 2020 Dec 4. PMID: 33180986.
• 29. Al-Zubaidi SMH. Management of coronal fracture of traumatized central incisor: Report of two cases. Saudi Endod J. 2017;7(1):40-4.
• 30. Lo Giudice G, Alibrandi A, Lipari F, Lizio A, Lauritano F, Cervino G, 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. 2017;11:266-75.
• 31. Marincak D, Dolezel V, Pribyl M, Voborna I, Marek I, Sedy J, et al. Conservative Treatment of Complicated Crown Fracture and Crown-Root Fracture of Young Permanent Incisor-A Case Report with 24-Month Follow-Up. Children-Basel. 2021;8(9):10.
• 32. Pavone AF, Ghassemian M, Mancini M, Condo R, Cerroni L, Arcuri C, et al. Autogenous Tooth Fragment Adhesive Reattachment for a Complicated Crown Root Fracture: Two Interdisciplinary Case Reports. Case Rep Dent. 2016;2016:7.
• 33. Radwanski M, Caporossi C, Lukomska-Szymanska M, Luzi A, Sauro S. Complicated Crown Fracture of Permanent Incisors: A Conservative Treatment Case Report and a Narrative Review. Bioengineering (Basel). 2022;18,9(9):481. doi: 10.3390/bioengineering9090481. PMID: 36135027; PMCID: PMC9495796.
• 34. Silva JS, Cohen-Carneiro F, Medina PO, Queiroz AC, Herkrath A, Pontes DG. Clinical and subjective success of tooth fragment reattachment: a case series. Gen Dent. 2021;69(6):18-23.