Single- versus multi-visit approach for fragment reattachment in complicated crown-root fractures: a cohort study.
Crown-root fracture
Dental traumatology
Fragment reattachment
Multidisciplinary dental treatment
Journal
BMC oral health
ISSN: 1472-6831
Titre abrégé: BMC Oral Health
Pays: England
ID NLM: 101088684
Informations de publication
Date de publication:
27 Sep 2024
27 Sep 2024
Historique:
received:
21
04
2024
accepted:
06
09
2024
medline:
28
9
2024
pubmed:
28
9
2024
entrez:
28
9
2024
Statut:
epublish
Résumé
Complicated crown-root fractures are a type of tooth fracture that involves the enamel, dentin, and cementum and accompanied by pulp exposure. The treatment of a complicated crown-root fracture is always challenging due to the difficulties in achieving a hermetic seal and a stable restoration with a fracture level close to the crestale bone level. This study aimed to evaluate and compare the efficacy of single-visit and multi-visit approaches for fragment reattachment in complicated crown-root fractures of anterior teeth. Two cohort consist of 10 adolescent patients in each group at both genders, who suffered from permanent anterior tooth complicated crown-root fracture were included. Fragment reattachment with root canal treatment was performed with either single or multiple-visit approach. Single visit fragment attachement combined with root cannel therapy was conducted in single-visit approach group immediately after injury. Fragment attachment, root cananel therapy and post resoration were performed during three times ' clinical visit in multi-visit approach group. All the patients in both groups achieved satisfactory aesthetic results one year after fragment reattachment. Patients who underwent a multi-visit approach had a significantly shorter operative duration, less intra-operative pain and fatigue, slightly better periodontal health at an early stage, and a decreased incidence of temporomandibular joint disorders compared to those who underwent a single-visit approach. However, multiple visits approach may increase the risk of fragment detachment postoperatively. Fragment reattachment a reliable but temporary technique for adolescent patients who have suffered from complicated crown-root fractures. Multi-visit approach showed similar effecacy to single-visit approach but with slightly less complications. The choose of these two merhos should depend on the specific patient situation and patient compliance. This prospective cohort study was retrospectively registered in Chinese Clinical Trial Registry (ChiCTR2300076811) on 19/10/2023.
Sections du résumé
BACKGROUND
BACKGROUND
Complicated crown-root fractures are a type of tooth fracture that involves the enamel, dentin, and cementum and accompanied by pulp exposure. The treatment of a complicated crown-root fracture is always challenging due to the difficulties in achieving a hermetic seal and a stable restoration with a fracture level close to the crestale bone level. This study aimed to evaluate and compare the efficacy of single-visit and multi-visit approaches for fragment reattachment in complicated crown-root fractures of anterior teeth.
METHODS
METHODS
Two cohort consist of 10 adolescent patients in each group at both genders, who suffered from permanent anterior tooth complicated crown-root fracture were included. Fragment reattachment with root canal treatment was performed with either single or multiple-visit approach. Single visit fragment attachement combined with root cannel therapy was conducted in single-visit approach group immediately after injury. Fragment attachment, root cananel therapy and post resoration were performed during three times ' clinical visit in multi-visit approach group.
RESULTS
RESULTS
All the patients in both groups achieved satisfactory aesthetic results one year after fragment reattachment. Patients who underwent a multi-visit approach had a significantly shorter operative duration, less intra-operative pain and fatigue, slightly better periodontal health at an early stage, and a decreased incidence of temporomandibular joint disorders compared to those who underwent a single-visit approach. However, multiple visits approach may increase the risk of fragment detachment postoperatively.
CONCLUSION
CONCLUSIONS
Fragment reattachment a reliable but temporary technique for adolescent patients who have suffered from complicated crown-root fractures. Multi-visit approach showed similar effecacy to single-visit approach but with slightly less complications. The choose of these two merhos should depend on the specific patient situation and patient compliance.
TRIAL REGISTRATION
BACKGROUND
This prospective cohort study was retrospectively registered in Chinese Clinical Trial Registry (ChiCTR2300076811) on 19/10/2023.
Identifiants
pubmed: 39334222
doi: 10.1186/s12903-024-04880-9
pii: 10.1186/s12903-024-04880-9
doi:
Types de publication
Journal Article
Comparative Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
1129Informations de copyright
© 2024. The Author(s).
Références
Marincak D, Dolezel V, Pribyl M, Voborna I, Marek I, Sedy J, Zizka R. 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):725.
pubmed: 34572157
Diogo de Azevedo Miranda NPP, Abigail Matthews, Lucas Alves Moura, Hugo Felipe do Vale, Marcio Zaffalon Casati, Debora Alves Nunes Leite Lima, Giselle Maria Marchi, José Roberto Lovadino, Flávio Henrique Baggio Aguiar. Esthetic and functional rehabilitation via reattachment of dental fragments. Compend Contin Educ Dent. 2012;33:130–7.
Costantinides F, Tonizzo M, Dotto F, Lenhardt M, Borella A, Sclabas M, et al. Epidemiological aspects of dental trauma associated with maxillofacial injures: ten years of clinical experience in Trieste, Italy. Dent Traumatol. 2023;39:346–51.
pubmed: 36872847
doi: 10.1111/edt.12835
Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O’Connell AC, Day PF, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1 Fractures and luxations. Dent Traumatol. 2020;36(4):314–30.
pubmed: 32475015
doi: 10.1111/edt.12578
Khandelwal P, Srinivasan S, Arul B, Natanasabapathy V. Fragment reattachment after complicated crown-root fractures of anterior teeth: A systematic review. Dent Traumatol. 2021;37(1):37–52.
pubmed: 32813931
doi: 10.1111/edt.12602
Wang Z, Heffernan M, Vann WF Jr. Management of a complicated crown-root fracture in a young permanent incisor using intentional replantation. Dent Traumatol. 2008;24(1):100–3.
pubmed: 18173676
doi: 10.1111/j.1600-9657.2006.00487.x
DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, et al. International association of dental traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dental Traumatol. 2012;28(1):2–12.
doi: 10.1111/j.1600-9657.2011.01103.x
Fatima S, Alam S, Kumar A, Andrabi S, Rehman A. Minimal intervention treatment of crown-root fracture in a mature permanent tooth by MTA pulpotomy and fragment reattachment: a case report. Aust Endod J. 2021;47(2):365–71.
pubmed: 33314383
doi: 10.1111/aej.12477
Arias Z, Falu Hinojosa Ledezma H, Patricia Osorio Teran C, Omori K, Yamamoto T, ZahedullslamNizami M, Takashiba S. Reattachment of fractured tooth fragment by multidisciplinary treatment approach. Bull Tokyo Dent Coll. 2023;64(1):13–22.
pubmed: 36792152
doi: 10.2209/tdcpublication.2022-0019
Afroz S, Howlader MMR, Alam MS, Wakia T, Islam MA. Management of a subgingivally fractured central incisor by re-attachment using a fiber post. Update Dental College J. 2014;3(1):37–40.
doi: 10.3329/updcj.v9i1.41205
Alves MD, Tateyama MA, Pavan N, Queiroz AF, Nunes M, Endo MS. Multidisciplinary approach to complicated crown-root fracture treatment: a case report. Oper Dent. 2021;46(5):484–90.
pubmed: 34963000
doi: 10.2341/20-015-S
Badami V, Reddy SK. Treatment of complicated crown-root fracture in a single visit by means of rebonding. J Am Dent Assoc. 2011;142(6):646–50.
pubmed: 21628685
doi: 10.14219/jada.archive.2011.0246
Küçükekenci FF, Küçükekenci AS. Spectrophotometric evaluation of crown fragment a year after reattachment using fiber-reinforced post: a case report. Ethiop J Health Sci. 2017;27(5):565–9.
pubmed: 29217962
pmcid: 5615018
doi: 10.4314/ejhs.v27i5.15
Eichelsbacher F, Denner W, Klaiber B, Schlagenhauf U. Periodontal status of teeth with crown-root fractures: results two years after adhesive fragment reattachment. J Clin Periodontol. 2009;36(10):905–11.
pubmed: 19682174
doi: 10.1111/j.1600-051X.2009.01458.x
Dogan MC, Akgun EO, Yoldas HO. Adhesive tooth fragment reattachment with intentional replantation: 36-month follow-up. Dent Traumatol. 2013;29(3):238–42.
pubmed: 22551193
doi: 10.1111/j.1600-9657.2012.01144.x
Caliskan MK, Ceyhanli KT. Reattachment of endodontically treated lateral incisor with supragingivally complicated crown fracture using fiber-reinforced post. Dent Traumatol. 2011;27(4):305–8.
pubmed: 21615682
doi: 10.1111/j.1600-9657.2011.01002.x
Getulio da Rocha Nogueira Filho LM, Fabrício Batista Teixeira, Luiz André F Pimenta, Enilson Antonio Sallum. Reattachment of an autogenous tooth fragment in a fracture with biologic width violation: A case report. Quintessence Int. 2002;33:181-4.
Arslan H, Barutcigil Ç, Aladağ H, Kürklü D. Management of fractured permanent incisors: 1 year follow-up. J Contemp Dent Pract. 2011;12:501–5.
pubmed: 22269244
doi: 10.5005/jp-journals-10024-1084
Öz İA, Haytaç MC, Toroǧlu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol. 2006;22:48–52.
pubmed: 16422760
doi: 10.1111/j.1600-9657.2006.00335.x
de Castro JC, Poi WR, Pedrini D, Tiveron AR, Brandini DA, de Castro MA. Multidisciplinary approach for the treatment of a complicated crown-root fracture in a young patient: a case report. Quintessence Int. 2011;42:729–35.
pubmed: 21909497
Jun Wang ML. Multidisciplinary treatment of a complicated crown-root fracture. Pediatr Dent. 2010;32:250–4.
pubmed: 20557710
Kulkarni VK, Bhusari CP, Sharma DS, Bhusari P, Bansal AV, Deshmukh J. Autogenous tooth fragment reattachment: a multidisciplinary management for complicated crown-root fracture with biologic width violation. J Indian Soc Pedod Prev Dent. 2014;32(2):190–4.
pubmed: 24739925
doi: 10.4103/0970-4388.131007
Kulkarni VK, Sharma DS, Banda NR, Solanki M, Khandelwal V, Airen P. Clinical management of a complicated crown-root fracture using autogenous tooth fragment: a biological restorative approach. Contemp Clin Dent. 2013;4(1):84–7.
pubmed: 23853460
pmcid: 3703703
doi: 10.4103/0976-237X.111603
Marcilio Jorge Fernandes Monteiro FC-C, Giselle Desideri Tino, Andre Augusto Franco Marques, Danielson Guedes Pontes. Adhesive reattachment rehabilitating a nonvital central incisor with a complicated crown-root fracture 1-year follow-up. Gen Dent. 2015;63:12–7.
Martins AV, Albuquerque RC, Lanza LD, Vilaca EL, Silva N, Moreira AN, da Silveira RR. Conservative treatment of a complicated crown-root fracture using adhesive fragment reattachment and composite resin restoration: two year follow-up. Oper Dent. 2018;43(3):E102–9.
pubmed: 29676971
doi: 10.2341/15-219-S
Mese M, Akcay M, Yasa B, Akcay H. Multidisciplinary management of complicated crown-root fracture of an anterior tooth undergoing apexification. Case Rep Dent. 2015;2015:521013.
pubmed: 26146573
pmcid: 4471325
Oliveira GM, Oliveira GB, Ritter AV. Crown fragment reattachment: report of an extensive case with intra-canal anchorage. Dent Traumatol. 2010;26(2):174–81.
pubmed: 20070350
doi: 10.1111/j.1600-9657.2009.00844.x
Passi D, Singh T, Aggarwal S, Mohan S, Sharma A, Gupta U. Esthetic management of complicated crown fracture of three permanent maxillary teeth by grout technique -a case report. J Family Med Primary Care. 2019;8(7):2538.
doi: 10.4103/jfmpc.jfmpc_425_19
Bajaj P, Chordiya R, Rudagi K, Patil N. Multidisciplinary approach to the management of complicated crown-root fracture: a case report. J Int Oral Health. 2015;7:88–91.
pubmed: 25954080
pmcid: 4409806
Pavone AF, Ghassemian M, Mancini M, Condo R, Cerroni L, Arcuri C, Pasquantonio G. Autogenous tooth fragment adhesive reattachment for a complicated crown root fracture: two interdisciplinary case reports. Case Rep Dent. 2016;2016:9352129.
pubmed: 27965901
pmcid: 5124656
Rajnekar R, Mankar N, Nikhade P, Chandak M, Burde K. Conservative management of complicated crown-root fracture: an immediate esthetic rehabilitation. Cureus. 2022;14(6):e25627.
pubmed: 35785013
pmcid: 9249066
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. 2009;107(2):e48-52.
pubmed: 19138637
doi: 10.1016/j.tripleo.2008.09.030
Rajput A, Talwar S, Ataide I, Verma M, Wadhawan N. Complicated crown-root fracture treated using reattachment procedure: a single visit technique. Case Rep Dent. 2011;2011:401678.
pubmed: 22690345
pmcid: 3368170
Raut AW, Mantri V, Shambharkar VI, Mishra M. Management of complicated crown fracture by reattachment using fiber post: minimal intervention approach. J Nat Sci Biol Med. 2018;9(1):93–6.
pubmed: 29456401
pmcid: 5812083
doi: 10.4103/jnsbm.JNSBM_98_17
Arora R, Shivakumar B, Rao HM, Vijay R. Rehabilitation of complicated crown-root fracture by fragment reattachment and intraradicular splinting: case reports. J Int Oral Health. 2013;5:129–38.
pubmed: 24324317
pmcid: 3845297
Saito CT, Guskuma MH, Gulinelli JL, Sonoda CK, Garcia-Junior IR, Filho OM, Panzarini SR. Management of a complicated crown-root fracture using adhesive fragment reattachment and orthodontic extrusion. Dent Traumatol. 2009;25(5):541–4.
pubmed: 19709129
doi: 10.1111/j.1600-9657.2009.00811.x
DePasquale S, Gatt G, Azzopardi A. Tooth fragment reattachment following crown root fracture: a case report. Dent Update. 2008;35:696–9.
pubmed: 19192692
doi: 10.12968/denu.2008.35.10.696
Sharma D, Garg S, Sheoran N, Swami S, Singh G. Multidisciplinary approach to the rehabilitation of a tooth with two trauma episodes: systematic review and report of a case. Dent Traumatol. 2011;27(4):321–6.
pubmed: 21535402
doi: 10.1111/j.1600-9657.2011.01006.x
Stojanac IL, Bajkin BV, Premovic MT, Ramic BD, Petrovic LM. Multidisciplinary treatment of complicated crown-root fractures: a case study. Oper Dent. 2016;41(6):e168–73.
pubmed: 27820690
doi: 10.2341/15-080-T
Vignesh R, Sharmin D, Rekha CV, Annamalai S, Baghkomeh PN. Management of complicated crown-root fracture by extra-oral fragment reattachment and intentional reimplantation with 2 years review. Contemp Clin Dent. 2019;10(2):397–401.
pubmed: 32308309
pmcid: 7145227
doi: 10.4103/ccd.ccd_671_18
Kulkarni VK, Sridhar R, Duddu MK, Banda NR, Vyawahare S, Sharma D. Biological restoration in a young patient with a complicated crown root fracture with an autogenous tooth fragment. J Clin Pediatr Dent. 2013;38:117–21.
pubmed: 24683773
doi: 10.17796/jcpd.38.2.1217282p364675u5
Chaugule V, Bhat C, Patil V, Mithiborwala SH. Reattachment of a vertical complicated subgingival crown root fracture in a 10-year old child: a case report. Int J Clin Pediatr Dent. 2009;2:53–9.
pubmed: 25206124
pmcid: 4086570
doi: 10.5005/jp-journals-10005-1020
Wang G, Wang C, Qin M. Pulp prognosis following conservative pulp treatment in teeth with complicated crown fractures-A retrospective study. Dent Traumatol. 2017;33(4):255–60.
pubmed: 28235162
doi: 10.1111/edt.12332
Soliman S, Lang LM, Hahn B, Reich S, Schlagenhauf U, Krastl G, Krug R. Long-term outcome of adhesive fragment reattachment in crown-root fractured teeth. Dent Traumatol. 2020;36(4):417–26.
pubmed: 32031749
doi: 10.1111/edt.12550
Garcia FCP, Poubel DLN, Almeida JCF, Toledo IP, Poi WR, Guerra ENS, Rezende L. Tooth fragment reattachment techniques-A systematic review. Dent Traumatol. 2018;34(3):135–43.
pubmed: 29512861
doi: 10.1111/edt.12392
Donnelly A, Foschi F, McCabe P, Duncan HF. Pulpotomy for treatment of complicated crown fractures in permanent teeth: A systematic review. Int Endod J. 2022;55(4):290–311.
pubmed: 35076954
pmcid: 9304243
doi: 10.1111/iej.13690
Nagendrababu V, Duncan HF, Fouad AF, Kirkevang LL, Parashos P, Pigg M, et al. Preferred Reporting items for OBservational studies in Endodontics (PROBE) guidelines: a development protocol. Int Endod J. 2020;53(9):1199–203.
pubmed: 32365401
doi: 10.1111/iej.13318
Machado MO, Kang NC, Tai F, Sambhi RDS, Berk M, Carvalho AF, et al. Measuring fatigue: a meta-review. Int J Dermatol. 2021;60(9):1053–69.
pubmed: 33301180
doi: 10.1111/ijd.15341
Hewlett S, Dures E, Almeida C. Measures of fatigue: Bristol Rheumatoid Arthritis Fatigue Multi-Dimensional Questionnaire (BRAF MDQ), Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scales (BRAF NRS) for severity, effect, and coping, Chalder Fatigue Questionnaire (CFQ), Checklist Individual Strength (CIS20R and CIS8R), Fatigue Severity Scale (FSS), Functional Assessment Chronic Illness Therapy (Fatigue) (FACIT-F), Multi-Dimensional Assessment of Fatigue (MAF), Multi-Dimensional Fatigue Inventory (MFI), Pediatric Quality Of Life (PedsQL) Multi-Dimensional Fatigue Scale, Profile of Fatigue (ProF), Short Form 36 Vitality Subscale (SF-36 VT), and Visual Analog Scales (VAS). Arthritis Care Res (Hoboken). 2011;63(Suppl 11):S263–86.
pubmed: 22588750
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.
pubmed: 20089057
doi: 10.1111/j.1600-9657.2009.00855.x