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After endodontic treatment and post hole preparation, a glass fiber post (ø 1.5 mm, Luxapost, DMG) was inserted into the canal. However, the post was too small to fit the root canal. 

After endodontic treatment and post hole preparation, a glass fiber post (ø 1.5 mm, Luxapost, DMG) was inserted into the canal. However, the post was too small to fit the root canal. 

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Although fiber-reinforced posts have been widely used, they sometimes fail to obtain sufficient retention because of an extremely large canal space. To address this, several techniques have been introduced including relining of the fiber-reinforced posts. Here, we used a relined glass-fiber post to increase retention and fitness to the root canal i...

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... was caused by hitting a solid bowl, and the fractured surface had been separated neatly due to an instantaneously applied strong force. The labial margin was present 1 mm below the marginal gingiva, and the lingual margin was supragingival ( Figure 2). The patient visited the clinic approximately 5 hours after the trauma, and the broken tooth was brought to the clinic in milk. The comparison of the shape of the fractured fragment with the retained tooth structure indicated that there was no significant discrepancy. Additionally, the patient wanted to preserve the fractured fragment. Therefore, fractured fragment reattachment was performed after endodontic treatment, and a glass-fiber post was inserted into it for retention. Because the labial margin was located in the subgingival region, a gingivectomy was performed using an electro-surgery kit (PerFect TCS, Whaledent, Mahwah, NJ, USA) under 2% lidocaine HCl (Xylestesin-A, 3M ESPE, Seefeld, Germany) anesthesia. For post insertion, a post hole was prepared by extending half of the length of the root. When the suitability of the glass-fiber post (Luxapost, ø 1.5 mm, DMG, Hamburg, Germany) was examined, the width of the glass-fiber post was considerably smaller than the diameter of the post hole (Figure 3). Therefore, post relining was selected to improve fitness. The indirect technique was considered to adjust the post relining and confirm the exact fracture line location. This technique was considered to be easy, to reduce chair time, and to make production easier. An impression was performed using Aquasil Rigid and XLV (Dentsply Caulk, Milford, DE, USA), and a working cast was fabricated with red stone. Relining of the glass-fiber post was performed using the method reported by Faria-e-Silva et al . 7 Glycerin gel was applied to the working cast as a separating medium and air-thinned. The surface of the fiber post was treated with CoJet Sand (CoJet Sand, 3M ESPE), and a silane coupling agent (Calibra, Dentsply Caulk) was ...

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Citations

Article
Background: The use of tooth fragment reattachment as an alternative treatment for fractured anterior teeth has been widely reported. However, there is controversy about its longevity. This necessitates the review of studies on its survival rate. Aim and objectives: To determine the reported survival rate of reattached tooth fragments and to assess the storage media, techniques and materials used for tooth reattachment as it affects the longevity of the restorations. Design of the study: This is a systematic review of studies conducted on tooth fracture reattachment. Setting: The review was carried out at the University College Hospital, Ibadan, a tertiary hospital in south-western region of Nigeria. Materials and method: A systematic search of PUBMED, Cochrane, Web of science, Scopus, Google scholar and Google was done three times for better outcome. Case reports, observational studies, in vivo studies, and cross sectional studies that were written in English language were included. Key words and phrases such as 'tooth reattachment', 'fragment tooth reattachment', 'crown fragment reattachment' as well as 'AND' 'OR' were employed to increase the field of search. Articles downloaded were critically appraised by the two authors for inclusion. Data including authors' name, date, institution, age/gender of patient, teeth involved, medium of storage, technique of reattachment, materials used, and follow up period were extracted and entered into a data proforma. Results: Search yielded 206 articles of which 61 relevant ones were downloaded and twenty five studies that met the selection criteria were analysed. A total of 29 teeth were treated in the studies. The majority, 20 (69.2%), of the patients were male and 15 (51.7%) of teeth treated were tooth-type 11. Ellis class III fracture constituted the major indication for reattachment, 21 (72.4%). Material mostly used for tooth reattachment was Light cured composite resin in 16 (55.2%) teeth followed by flowable composite in 8 (27.6%) and dual cure composite in 5 (17.2%) teeth. Follow-up period was between 3 months and 10 years with an average of 2-year-longevity and survival rate. Conclusion: Tooth reattachment as an alternative treatment for fractured anterior teeth is simple, conservative, cost effective and aesthetically pleasing with fair survival rate.