The Journal of Contemporary Dental Practice

Register      Login



Volume / Issue

Online First

Related articles

VOLUME 9 , ISSUE 1 ( January, 2008 ) > List of Articles


Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report

Emre Ozel, Alper Cildir, Yonca Ozel

Citation Information : Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008; 9 (1):77-83.

DOI: 10.5005/jcdp-9-1-77

License: CC BY-NC 3.0

Published Online: 01-01-2008

Copyright Statement:  Copyright © 2008; Jaypee Brothers Medical Publishers (P) Ltd.



The purpose of this case report is to describe the re-attachment of an anterior tooth fragment using a selfetching adhesive.


Fracture of anterior teeth by trauma is a common problem in children and teenagers due to their active lifestyle. Restoration of these teeth often presents a challenge because of the large pulp in young teeth and open apical foramen depending on the age of the child. New dental adhesive materials offer an alternative solution for the treatment of some anterior tooth fractures.


A 17-year-old female patient presented for treatment of a fractured maxillary left central incisor. The clinical examination revealed the exposure of dentin, but there was no exposure of the pulp. The patient saved the tooth fragment making it available for re-attachment to the remaining tooth structure. Under local anesthesia and rubber dam isolation the tooth fragment was re-attached using a self-etching adhesive and a microhybrid composite.


The re-attached tooth fragment was assessed clinically, radiographically, and using photographs at one, six, 12, 24, and 36 month intervals. The tooth remained vital, and there was no change in the color of the tooth at the three-year recall.


Ozel E, Cildir A, Ozel Y. Re-attachment of Anterior Tooth Fragment using a Self-etching Adhesive: A Case Report. J Contemp Dent Pract 2008 January; (9)1:77-083.

PDF Share
  1. Pathways of the Pulp Mosby St. Louis, 1994.
  2. Textbook and color atlas of traumatic injuries to the teeth Munksgaard, Copenhagen, 1993.
  3. Etiological and predisposing factors related to traumatic injurities to permanent teeth. Swed Dent J 1993;17:183-190.
  4. Clinical procedures for the immediate reattachment of a tooth fragment. Dent Traumatol 2002;18:281-284.
  5. Re-attachment of anterior fractured teeth: fracture strength using different techniques. Oper Dent 2001;26:287-294.
  6. The fractured tooth reunited using the acid-etch bonding technique. Texas Dent J 1978;96:16-17.
  7. Traumatic fracture restorations: An alternative use of the acid etch technique. Quintessence Int 1979;10:15-22.
  8. Conservative re-attachment of a pulpally exposed fractured incisor. Dent Econ 1994;84:90-91.
  9. Re-attaching fractured tooth segments: An esthetic alternative. J Am Dent Assoc 1992;123:58-63.
  10. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent 2004;29:226-233.
  11. Quintessence Int 1990;21:261-270.
  12. Reattachment of a tooth fragment with a “new” adhesive system: A case report. Quintessence Int 1994;25:91-96.
  13. Advanced adhesive restorations: The post-amalgam age. Pract Periodontics Aesthet Dent 1996;8:385-394.
  14. Reattachment of a fractured maxillary tooth: a case report. Quintessence Int 2004;35:601-604.
  15. Dentin bond strength of self-etching primers/adhesives. Oper Dent 2005;30:63-68.
  16. Dentin bonding as function of dentin structure. Dent Clin North Am 2002;46:277-301.
  17. Clinical performance of self-etch adhesives at 18 months. Am J Dent 2005;18:135-140.
  18. Criteria for the clinical evaluation of dental restorative materials. US Dental Health Center, San Francisco: US Government: Printing Office; 1971,
  19. Re-attachment of a fractured central incisor tooth fragment. Br Dent J 1991;170:223-235.
  20. Fractured-tooth fragment re-attachment. Gen Dent 1996;44:434-436.
  21. Marginal integrity of adhesive fracture restorations: chamfer versus bevel. Quintessence Int 1983;14:1135-1146.
  22. Restoration of a fractured central incisor using original tooth fragment. J Am Dent Assoc 1982;105:646-648.
  23. Esthetics: Direct adhesive restorations on fractured anterior teeth. Quintessence Books, Chicago, 1998.
  24. Reinforcement of bonded crown fractured incisors with porcelain veneers. Endod Dent Traumatol 1991;7:78-83.
  25. Long-term survival of fragment bonding in the treatmentof fractured crowns: A multicenter clinical study. Quintessence Int 1995;26:669-681.
  26. An in vitro investigation into the shear bond strengths of two dentine-bonding agents used in the re-attachment of incisal edge fragments. Endod Dent Traumatol 1995;11:129-135.
  27. Effect of enamel bevel and restoration lengths on Class IV acid-etch retained composite resin restoration. J Am Dent Assoc 1983;107:951-952.
  28. Incisal edge reattachment: the effect of preparation utilization and design. Quintessence Int 1999;30:637-643.
  29. Re-attachment of anterior fractured teeth: fracture strength using different materials. Oper Dent 2002;27:621-627.
  30. Autogenous tooth fragment reattachment- Association of periodontal surgery and endodontic and restorative procedures: A case report. Quintessence Int 2004;35:179-184
  31. Incisal edge reattachment: Literature review and treatment perspective. Compend Contin Educ Dent 1998;19:731-734.
  32. Attachment of anterior tooth fragments. Pediatr Dent 1986;8:139-143.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.