Comparative evaluation of impact strength of natural tooth and two different fragment reattachment technique

An in-vitro study

https://doi.org/10.53730/ijhs.v6nS10.14030

Authors

  • Amruta K. Dedgaonkar Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and hospital, Pune, India
  • Alok R. Patel Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and hospital, Pune, India
  • Shweta S. Jajoo Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and hospital, Pune, India
  • Rohan Shah Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and hospital, Pune, India
  • Preetam Shah Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and hospital, Pune, India
  • Shweta Choudhary Department of Pediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and Hospital, Pune, India

Keywords:

impact fracture strength, ribbond, fragment reattachment, traumatic dental injuries, composite, polyethylene fiber

Abstract

Background: The reattached fragments are prone to re-fracture if another traumatic episode occurs or under non-physiological use of the restored teeth. There is a scarcity of literature regarding the management of uncomplicated crown fracture reattachment following a further fracture Therefore, concerns have been directed towards the strength of reattachment of the fractured teeth. Hence the aim of the in-vitro study was to evaluate & compare the impact strength of reattached fragments with composite resin & polyethylene fiber impregnated in composite resin with that of the natural tooth. Methodology: Total samples of 42 teeth were collected and indicated for extraction. They were cleaned ultrasonically and later stored in a 0.9% saline solution. The samples were divided into three groups of 14 samples each. The fracture was induced by disk, only Ellis class II fractured teeth were included in the study. Group 1 (control group) sound tooth: Directly checked for impact strength. Group 2: Reattachment of the fractured fragment using composite resin. Group 3: Reattachment using polyethylene fiber impregnated in composite resin with minimal preparation. All samples were thermocycled between 5°C - 55°C for 500 cycles with 30 seconds dwell time and tested in an ‘impact testing machine’. 

Downloads

Download data is not yet available.

References

Abdulkhayum A, Munjal S, Babaji P, Chaurasia VR, Munjal S, Lau H, et al. In-vitro evaluation of fracture strength recovery of reattached anterior fractured tooth fragment using different re-attachment techniques. J Clin Diagn Res JCDR. 2014;8(3):208–11.

Azami-Aghdash S, Ebadifard Azar F, Pournaghi Azar F, Rezapour A, Moradi-Joo M, Moosavi A, et al. Prevalence, etiology, and types of dental trauma in children and adolescents: systematic review and meta-analysis. Med J Islam Repub Iran. 2015;29(4):234.

Güngör HC. Management of crown-related fractures in children: An update review. Dent Traumatol. 2014;30:88-99.

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;36:314–30.

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;26:669-681.

El-Askary FS, Ghalab OH, Eldemerdash FH, Ahmed OI, Fouad SA, Nagy MM. Reattachment of a severely traumatized maxillary central incisor, one-year clinical evaluation: a case report. J Adhes Dent. 2006;8:343-349.

Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent 2004;29:226–233

Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol 2002;18(5):281–4.

Maia EA, Baratieri LN, de Andrada MA, Monteiro S Jr, de Araújo EM Jr. Tooth fragment reattachment: fundamentals of the technique and two case reports. Quintessence Int. 2003;34(2):99-107.

Baratieri LN, Monteiro S Jr., Andrada MAC. Tooth fracture reattachment: case reports. Quintessence Int. 1990;21(4):261–70.

Oliveira GM, Ritter AV. Composite resin restorations of permanent incisors with crown fractures. Pediatr Dent. 2009;31(2):102-109.

Tuloglu N, Bayrak S, Tunc ES. Different clinical applications of bondable reinforcement ribbond in pediatric dentistry. Eur J Dent. 2009;3(4):329-334.

Singhal R, Pathak A. Comparison of the fracture resistance of reattached incisor tooth fragments using 4 different materials. J Indian Soc Pedod Prev Dent. 2012;30(4):310-316.

Kumar, S., & Maria, R. Determining the fracture strength of the reattached fragment of anterior teeth: An In Vitro Study. J Dent Allied Sci. 2013;2(1):16-20

Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol. 2002;18(3):103-115.

Farik B, Munksgaard EC, Andreasen JO, Kreiborg S. Fractured teeth bonded with dentin adhesives with and without unfilled resin. Dent Traumatol. 2002;18(2):66-69.

Maia EA, Baratieri LN, de Andrada MA, Monteiro S Jr, de Araújo EM Jr. Tooth fragment reattachment: fundamentals of the technique and two case reports. Quintessence Int. 2003;34(2):99-107.

Badami AA, Dunne SM, Scheer B. An in vitro investigation into the shear bond strengths of two dentine-bonding agents used in the reattachment of incisal edge fragments. Endod Dent Traumatol. 1995;11(3):129-135.

Farik B, Munksgaard EC, Suh BI, Andreasen JO, Kreiborg S. Adhesive bonding of fractured anterior teeth: effect of wet technique and rewetting agent. Am J Dent. 1998;11(6):251-253.

Sengun A, Ozer F, Unlu N, Ozturk B. Shear bond strengths of tooth fragments reattached or restored. J Oral Rehabil. 2003;30(1):82-86.

Nagendrababu V, Abbott PV, Boutsioukis C, Christos Boutsioukis, Henry F. Duncan, et al. Methodological quality assessment criteria for the evaluation of laboratory-based studies included in systematic reviews within the specialty of Endodontology: A development protocol. Int Endod J. 2022;55(4):326-333.

Belcheva A. Reattachment of fractured permanent incisors in school children (review). J IMAB Annual Proceeding (Scientific Papers) 2009;14:96

Demarco FF, Fay RM, Pinzon LM, Powers JM. Fracture resistance of re attached coronal fragments – Influence of different adhesive materials and bevel preparation. Dent Traumatol. 2004;20:157-63.

Farik B, Munksgaard EC, Kreiborg S, Andreasen JO. Adhesive bonding of fragmented anterior teeth. Endod Dent Traumatol 1998;14:119-23.

Farik B, Munksgaard EC, Suh BI, Andreasen JO, Kreiborg S. Adhesive bonding of fractured anterior teeth: Effect of wet technique and rewetting agent. Am J Dent 1998;11:251-253

Farik B, Munksgaard EC, Andreasen JO, Kreiborg S. Drying and rewetting anterior crown fragments prior to bonding. Endod Dent Traumatol 1999;15:113-116

Farik B, Munksgaard EC. Fracture strength of intact and fragment bonded teeth at various velocities of the applied force. Eur J Oral Sci 1999;107:70-73

Munksgaard EC, Højtved L, Jørgensen EH, Andreasen JO, Andreasen FM. Enamel dentin crown fractures bonded with various bonding agents. Endod Dent Traumatol 1991;7:73-77.

Dean JA, Avery DR, Swartz ML. Attachment of anterior tooth fragments. Pediatr Dent 1986;8(3):139-143.

Lassila LVJ, Tezvergil A, et al. Effects of glass fiber layering on the flexural strength of microfill and hybrid composites. J Esthet Restor Dent 2009;21:171-181.

Sharafeddin F, Alavi A, et al. Flexural strength of glass and polyethylene fiber combined with three different composites. J Dent (Shiraz) 2013;14(1):13-19

Garoushi SK, Ballo AM, Lassila LV, Vallittu PK. Fracture resistance of fragmented incisal edges restored with fiber-reinforced composite. J Adhes Dent. 2006;8(2):91-95.

Galyan G, Padda BK, Kaur TP, Sharma M, Kapur I, Kaur S. In vitro study comparing fracture resistance of nanocomposites with and without fiber reinforcement with different cavity designs used for obliquely fractured incisal edge restoration. J Contemp Dent Pract 2019;20(5):566-570.

Belli S, Erdemir A, Yildirim C. Reinforcement effect of polyethylene fibre in root-filled teeth: comparison of two restoration techniques. Int Endod J. 2006;39(2):136-142.

Reis A, Francci C, Loguercio AD, Carrilho MR, Rodriques Filho LE. Re-attachment of anterior fractured teeth: fracture strength using different techniques. Oper Dent. 2001;26(3):287-294.

Croll TP. Dentin adhesive bonding: new applications (I). Quintessence Int Dent Dig. 1984;15(10):1021-1028.

Croll TP. Dentin Adhesive Bonding: New Application (II). Quintessence Int 1984;11:1123-1129.

Worthington RB, Murchison F, Kraig VS. Incisal edge reattachment: The effect of preparation utilization and design. Quintessence Int. 1999;30:637-643

Rappelli G, Massaccesi C, Putignano A. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol. 2002;18(5):281-284.

Published

27-12-2022

How to Cite

Dedgaonkar, A. K., Patel, A. R., Jajoo, S. S., Shah, R., Shah, P., & Choudhary, S. (2022). Comparative evaluation of impact strength of natural tooth and two different fragment reattachment technique: An in-vitro study. International Journal of Health Sciences, 6(S10), 1414–1426. https://doi.org/10.53730/ijhs.v6nS10.14030

Issue

Section

Peer Review Articles