* denotes required field

Your Name: *



Gender: *

Personal Email: *

This will be your username

Password: *

Display Name: *

This will be what others see in social areas of the site.

Address: *










Phone Number:

School/University: *

Graduation Date: *

Date of Birth: *

ASDA Membership No:





Hi returning User! please login with Facebook credentials where Facebook Username is same as THENEXTDDS Username.




Comments (0)

Tooth-Fragment Reattachment

Case Presentation for a Fractured Anterior Tooth

The development of advanced adhesive systems has made it possible to bond various substrates, eg, composite resin and vital or nonvital tooth structures. The management of coronal and coronoradicular fractures in the maxillary region with these adhesive materials is easier, safer, and more efficacious than the use of traditional treatment alternatives that involve the use of posts and cores and/or other mechanical devices to obtain retention. Ability to bond the dislocated segment of the fractured tooth constitutes a significant step forward in the management of this clinical condition.

*Professor, Operative Dentistry, CCS/STM, Federal University of Santa Catarina, Florianopolis, Brazil.


Learning Objectives:

This video describes the fractured tooth fragment reattachment when the fracture is severe and involves the biological width. Upon completion of this video, the viewer should have an enhanced understanding of the:

  • Principles of the reattachment procedure.
  • Clinical implementation.
  • Advantages of reattachment, particularly for young patients.


Related Reading:

  1. Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1(5):235-239.
  2. Davis GT, Knott SC. Dental trauma in Australia. Austral Dent J 1984;29(4):217-221.
  3. Garcia-Godoy F, Dipres FM, Lora IM, Vidal ED. Traumatic dental injuries in children from private and public schools. Community Dent Oral Epidemiol 1986;14(5):287-290.
  4. Baratieri LN, Monteiro S Jr, Andrada MAC, et al. Esthetic-Direct Adhesive Restorations on Fractured Anterior Teeth. Carol Stream, IL: Quintessence Publishing, 1997. In press.
  5. Chain MC, Cox CF. Characterization of the cell healing sequence in exposed monkey pulps when capped with various adhesive systems. J Dent Res 1996;75(special issue):280(Abstract No. 2102).
  6. Cox CF, White KC. Biocompatibility of amalgam on exposed pulps employing a biological seal. J Dent Res 1992;71(special issue):187(Abstract No. 656).
  7. Cox CF. Biocompatibility of dental materials in the absence of bacterial infection. Oper Dent 1987;12(4):146-152.
  8. Cox CF, Subay RK, Suzuki S, et al. Biocompatibility of various dental materials: Pulp healing with a surface seal. Int J Periodont Rest Dent 1996;16(3):240-251.
  9. Cox CF, Keall CL, Keal HJ, et al. Biocompatibility of surface-sealed dental materials against exposed pulps. J Prosthet Dent 1987;57(1):1-8.
  10. Cox CF, Suzuki S. Re-evaluating pulp protection: Calcium hydroxide liners vs. cohesive hybridization. J Am Dent Assoc 1994;125(7):823-831.
  11. Cox CF, Bergenholtz G, Heys DR, et al. Pulp capping of dental pulp mechanically exposed to oral microflora: A 1-2 year observation of wound healing in the monkey. J Oral Pathol 1985;
  12. 14(2):156-168.
  13. Cox CF, Bergenholtz G, Fitzgerald M, et al. Capping of the dental pulp mechanically exposed to the oral microflora — A 5 week observation of wound healing in the monkey. J Oral Pathol 1982;11(4):327-339.
  14. Cox CF, Suzuki S, Suzuki SH. Biocompatibility of dental adhesives. J Calif Dent Assoc 1995;23(8):35-41.
  15. Kanca J III. Replacement of a fractured incisor fragment over pulpal exposure: A case report. Quint Int 1993;24(2):81-84.
  16. Kanca J III. Replacement of a fractured incisor fragment over pulpal exposure: A long-term case report. Quint Int 1996;27(12):829-832.
  17. Kimura T, Shinkai K, Iwatumi F, et al. Conservative restorations of traumatic fracture teeth with pulp exposure. Nippon Dent Un 1995;29:37.
  18. Matsuo T, Nakanishi T, Shimizu H, Ebisu S. A clinical study of direct pulp capping applied to carious-exposed pulps. J Endodont 1996;22(10):551-556.
  19. Onoe N. Study on adhesive bonding systems as a direct pulp capping agent. Japan J Conserv Dent 1994;37:429-466.
  20. Gargiulo AW, Wentz FM, Orban B. Dimensions and relations of the dentogingival junction in humans. J Periodontol 1961;32:261-267.
  21. Kaba AJ, Maréchax SC. A fourteen-year follow-up study of traumatic injuries to the permanent dentition. J Dent Child 1989;56:417-425.
  22. Andreasen JO, Andreasen FM. Essentials of Traumatic Injuries to the Teeth. Copenhagen, Denmark: Munksgaard, 1990.
  23. Amir E, Bar-Gil B, Sarnat H. Restoration of fractured immature maxillary central incisors using the crown fragments. Pediatr Dent 1986;8(4):285-288.
  24. Baratieri LN, Monteiro S Jr, Caldeira de Andrada MA. Tooth fragment reattachment: Case reports. Quint Int 1990;21(4):261-270.
  25. Burke FJ. Reattachment of a fractured central incisor tooth fragment. Brit Dent J 1991;17(6):223-225.
  26. Dean JA, Avery DR, Swartz ML. Attachment of anterior tooth fragments. Pediatr Dent 1986;8(3):139-143.
  27. Simonsen RJ. Traumatic fracture restoration: An alternative use of the acid etch technique. Quint Int 1979;10(2):15-22.
  28. Simonsen RJ. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc 1982;105(4):646-648.
  29. Swift EJ Jr, Perdigao J, Heymann HO. Bonding to enamel and dentin. A brief history and state of the art, 1995. Quint Int 1995;26(2):95-110.
  30. Rosenberg MM. Tratamento periodontal e protético para casos avançados. São Paulo, Brazil: Quintessence Publishing, 1992.
Sorry, your current access level does not permit you to view this page.