Class IV reattachment and restoration with one shade
It often happens that our younger patients experience trauma from falling, thus causing the fracture of their front teeth or – even worse – their avulsion. If a fracture is not complicated by pulp exposure, and if the parents have succeeded in recovering the fractured fragments, they may be immediately bonded, sometimes enriched with a partial restoration of the missing parts. In the following clinical case a technique proposed that involves the use of a single body mass of composite material, exploiting modern medium-translucent and highly mimetic new composite materials.
The simplification of the operative procedures is one of the aims of the Philosophy of Style Italiano, so we suggest the use of a single mass also for anterior restorations and reattachment of fragments, in case of trauma and broken teeth. This is not something that can decrease the single individual skills or reduce the final quality of your work, but, on the contrary, it makes operating procedures more feasible, manageable and fluid also for the experienced operators, as you can see from the result just shown above.
Andreasen JO, Andreasen FM. Classification, etiology and epidemiology of traumatic dental injuries. In: Andreasen JO, Andreasen FM, editors. Fractured tooth fragment reattachment a or. Textbook and Color Atlas of Traumatic Injuries to the Teeth. 3rd edition. Copenhagen: Munksgaard Publishers; 1993. pp. 15177.
Olsburgh S, Jacoby T, Krejci I. Crown Fractures in the permanent dentition: Pulpal and restorative consideration. Dent Traumatol. 2002;18:10315.
Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol. 2002;18:2814.
Baratieri LN, Monteiro S, Jr, Caldeira de Andrada MA. Tooth fracture reattachment: Case reports. Quintessence Int. 1990;21:26170.
Andreasen FM, Noren JG, Andreasen JO, Engelhardtsen S, Lindh-Stromberg U. Long-term survival of fragment bonding in the treatment of fractured crowns: A multicenter clinical study. Quintessence Int. 1995;26:66981.
Osbome JW, Lamsen RL. Reattachment of fractured incisal tooth segment. Gen Dent. 1985;3:5167
Chu FC, Yim TM, Wei SH. Clinical considerations for reattachment of tooth fragments.Quintessence Int. 2000;31:38591.
Simonsen RJ. Restoration of a fractured central incisor using original teeth. J Am Dent Assoc. 1982;105:64664.
Starkey PE. Reattachment of a fractured fragment to a tooth. J Indiana Dent Assoc. 1979;58:378.