Reattachment of Fractured Anterior Teeth by Resin Composite and Silicone Jig: A Case Report

Abstract

Reattachment of Fractured Anterior Teeth by Resin Composite and Silicone Jig: A Case Report

Putthiporn Jirathanakorn DDS

Dental Section, Faculty of Medicine Vajira Hospital, University of Bangkok Metropolis

The most frequent dental traumatic injury is a crown fracture without penetration through the dental pulp. The maxillary central incisor has the highest risk for this traumatic injury. To restore the function as well as for esthetics purpose, fragment reattachment is an appropriate treatment option especially when the tooth is not luxated, the fragment piece is found and properly stored. This case report describes one method of reattachment by circumferential enamel beveling. First, the fractured and the remnant pieces were placed and stabilized in the correct position with a silicone jig. Then the flowable resin composite was used to fix the fractured and the remnant after a bonding process. The bonding system used in this case is achieved by acid etching to both enamel and dentin. The procedure allows a restoration of the original contour, colour, surface texture, and occlusal alignment of the affected tooth.

Keywords: reattachment, crown fracture, tooth fragment, tooth remnant, silicone jig, resin composite

Vajira Med J 2010 ; 54 : 417 - 423