ACRYLIC INDEX ON TOOTH FRAGMENT REATTACHMENT: A CLINICAL TECHNIQUE
Resumo
This report describes step-by-step a technique to reattachment anterior crown fragments using an acrylic guide to facilitate the handle, placement, and cementation. And discuss aspects about the materials and techniques that must be encouraged clinically for better result and longevity of procedure.
Clinical considerations
Coronary fracture is a common situation in everyday practice. The fragment reattachment is a predictable restorative treatment option that offers advantages of aesthetics, conservation of the remaining tooth structure, and an immediate emotional positive response from the patient. However, the fragments reattachment can present some difficulties like the handle, possibility of the fragment being reattached incorrectly. And the incorrect use of materials for adhesion may have interference during the excursive movements and could requires extensive occlusal adjustment. It can result in poor clinical outcomes.
Conclusions
The workflow by using acrylic as a guide provides an accurate handle of tooth fragment to properly stabilize, placement, position, and bond without any preparation increasing procedure reliability.
Clinical significance
The reattachment of fractured crown fragments is a cost-effective method. When the fragment is adequate, it should be the treatment of choice. Adequate bonding material combined with an acrylic index as a reference to assure proper positioning of the fragment can improve the clinical outcome.
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16Referências
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