The Journal of Contemporary Dental Practice

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Related articles

VOLUME 23 , ISSUE 2 ( February, 2022 ) > List of Articles

ORIGINAL RESEARCH

Evaluation of Fracture Resistance of Reattached Fractured Tooth Fragment Stored in Different Storage Media: An In Vitro Study

Shivangi Trivedi, Abhishek Bansal, Navneet Kukreja, Aparna Trivedi, Swati Chhabra, Rikki Deswal, Parwan Gill, Archana Jain

Keywords : Coconut water, Fractured teeth, Hanks balanced salt solution, Milk, Propolis, Reattachment, Storage media

Citation Information : Trivedi S, Bansal A, Kukreja N, Trivedi A, Chhabra S, Deswal R, Gill P, Jain A. Evaluation of Fracture Resistance of Reattached Fractured Tooth Fragment Stored in Different Storage Media: An In Vitro Study. J Contemp Dent Pract 2022; 23 (2):221-225.

DOI: 10.5005/jp-journals-10024-3235

License: CC BY-NC 4.0

Published Online: 10-06-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: To evaluate the fracture resistance of coronal fractured tooth fragments stored in five different storage media when reattached with nanohybrid flowable composite. Materials and methods: The crown portion of 50 extracted human permanent maxillary central incisors were divided into three equal parts (incisal third, middle third and cervical third) and then marked incisal third were cut with the diamond disk. These were divided into five equal groups according to the type of storage media used i.e. dry storage, fresh tender coconut water, HBSS, milk, and propolis for 2 hours. Coronal fractured part with their respective apical parts were then reattached with flowable composite (G-aenial Universal Flo, GC India), then after thermocycling process samples were subjected to universal testing machine for testing fracture resistance. The collected data were subjected to statistical analysis using one way ANOVA and Post-hoc Tukey test. Results: The obtained results revealed that large amount of force is required to fracture the reattached teeth which were stored in milk and fresh tender coconut water as compared to those which were stored in dry environment, HBSS and propolis. Conclusion: In this study, maximum fracture resistance was seen in teeth stored in milk and fresh tender coconut water. Therefore, these two were considered as better storage media. Clinical significance: Due to increased interest towards the use of tooth colored restoration, recently, fractured teeth reattachment treatment procedure gaining attention by preserving life like translucency of treated tooth.


HTML PDF Share
  1. Prasada L, Penta PK, Ramya MK. Evaluation of various interim storage media on the bond strength of coronal fragments reattached with flowable composite resin. APJR 2017;I:144–147.
  2. Prabhakar AR, Yavagal CM, Limaye NS, et al. Effect of storage media on fracture resistance of reattached tooth fragments using G-aenial Universal Flo. J Conserv Dent 2016;19(3):250–253. DOI: 10.4103/0972-0707.181942.
  3. Bele AD, Jain D, Gautam A. Reattachment of fractured tooth fragment in maxillary anterior teeth: an esthetic approach. J Oral Health Comm Dent 2014;8(3):184–187. DOI: 10.5005/johcd-8-3-184.
  4. Pusman E, Cehreli ZC, Altay N, et al. Fracture resistance of tooth fragment reattachment: effects of different preparation techniques and adhesive materials. Dent Traumatol 2010;26(1):9–15. DOI: 10.1111/j.1600-9657.2009.00855.x.
  5. Divakar HD, Nayak M, Shetty R. Changing concepts in fracture reattachment of teeth: a case series. Endodontology 2017;2:48–54.
  6. Mantri V, Palekar A, Dhoka A, et al. Evaluation of the effect of storage medium on fragment reattachment. Int J Prev Clin Dent Res 2017;4(3):1–5.
  7. Shrani F, Manesh VS, Malekipour MR. Preservation of coronal tooth fragments prior to reattachment. Aus Dent J 2013;58(3):321–325. DOI: 10.1111/adj.12092.
  8. Vamsi Krishna R, Madhusudhana K, Swaroopkumarreddy A, et al. Shear bond strength evaluation of adhesive and tooth preparation combinations used in reattachment of fractured teeth: an ex-vivo study. J Indian Soc Pedod Prev Dent 2015;33(1):40–43. DOI: 10.4103/0970-4388.148975.
  9. Shirani F, Malekipour MR, Tahririan D, et al. Effect of storage environment on the bond strength of reattachment of crown fragments to fractured teeth. J Conserv Dent 2011;14(3):269–272. DOI: 10.4103/0972-0707.85813.
  10. Mittal N, Swain G. Bio-esthetic restoration: a novel approach in conservative dentistry. Dentistry 2014;4(7):1–3. DOI: 10.4172/2161-1122.1000245.
  11. Malhotra N. Current developments in interim transport (storage) media in dentistry: an update. BDJ 2011;211(1):29–33. DOI: 10.1038/sj.bdj.2011.523.
  12. Andreasen FM, Noren JG, Andreasen JO, et al. Long term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int 1995;26(10):669–681. PMID: 8935108.
  13. Jalannavar P, Tavargeri A. Influence of storage media and duration of fragment in the media on the bond strength of the reattached tooth fragment. Int J Clin Pediatr Dent 2018;11(2):83–88. DOI: 10.5005/jp-journals-10005-1490.
  14. Daokar S, Late L, Pawar K, et al. To evaluate the effect of storage medium on fracture resistance of reattached tooth fragments by using flowable composite resin. IJMSIR 2018;3(2):06–10.
  15. Bhargava M, Pandit IK, Srivastava N, et al. An evaluation of various materials and tooth preparation designs used for reattachment of fractured incisors. Dent Traumatol 2010;26(5):409–412. DOI: 10.1111/j.1600-9657.2010.00913.x.
  16. Shilpa N, Rao VV, Vasepalli M, et al. Effect of storage media on fracture resistance of reattached tooth fragment: an in vitro comparative study. Int J Adv Res 2017;5(4):1604–1609. DOI: 10.21474/IJAR01/3988.
  17. Vishwanathan S, Nandan N, Raj SN, et al. Storage media:a review. EJMED 2019;4(6):1–8. DOI: 10.24018/ejmed.2019.4.6.82.
  18. Souza BDM, Bortoluzzi EA, Reyes JC, et al. Effect of temperature and seven storage media on human periodontal ligament fibroblast viability. Dent Traumatol 2017;33(2):100–105. DOI: 10.1111/edt.12311.
  19. Joseph RM, Kumar R, Simon EP, et al. Effect of storage media on fracture resistance of reattached tooth fragments using flowable composite. Dent Bites 2019;6(3):30–35.
  20. Princy P, Waly AS, Venkatesan R, et al. Comparative evaluation of the effect of various storage mediums on the fracture resistance of re-attached tooth fragments: an ex-vivo study. ADJ 2020;7(3):467–473. DOI: 10.21608/adjg.2020.17453.1196.
  21. Poi WR, Sonoda CK, Martins CM, et al. Storage media for avulsed teeth: a literature review. Braz Dent J 2013;24(5):437–445. DOI: 10.1590/0103-6440201302297.
  22. Gomes MCB, Westphalen VPD, Westphalen FH, et al. Study of storage media for avulsed teeth. Braz J Dent Traumatol 2009;1(2):69–76.
  23. Farik B, Munksgaard EC, Andreasen JO. Drying and rewetting crown fragments prior to bonding. Endod Dent Traumatol 1999;15(3):113–116. DOI: 10.1111/j.1600-9657.1999.tb00766.x.
  24. Choi AN, Lee JH, Son SA, et al. Effect of dentin wetness on the bond strength of universal adhesives. Materials 2017;10(11):1–13. DOI: 10.3390/ma10111224.
  25. Chinchalkar RP, Mahaparale RR, Bapna PAK, et al. Effect of different storage media on the bond strength of fractured parts before re-attachment: an in vitro study. Int J Sci Res 2019;8(11):16–18.
  26. Hegde RJ, Kale SJ. Comparison of the effect of various storage media on the fracture resistance of the reattached incisor tooth fragments: an in vitro study. Indian J Dent Sci 2017;9(4):233–236. DOI: 10.4103/IJDS.IJDS_70_17.
  27. Maia GB, Pereira RV, Poubel DLDN, et al. Reattachment of fractured teeth using a multimode adhesive: effect of different rewetting solutions and immersion time. Dent Traumatol 2020;36(1):1–7. DOI: 10.1111/edt.12506.
  28. Kumar SC, Reddy KD, Prasad SD, et al. Comparative evaluation of the effect of various storage media on the fracture resistance of re attached tooth fragments with flowable composite:an in vitro study. Int J Sci Res 2020;9(3):7–9.
  29. Thakre SA, Manwar NU, Heda AA, et al. Effect of various storage media on fracture resistance of the reattached tooth fragments: an in-vitro study. Int J Sci Res 2020;9(3):6–9.
  30. Varma V, Hegde S, Bhat SS. Comparative evaluation of efficacy of three different storage media in maintaining the viability of periodontal ligament cells: an in vitro study. IHRJ 2017;1(5):25–34.
  31. Bazmi BA, Singh AK, Kar S, et al. Storage media for avulsed tooth: a review. Indian J Multidiscip Dent 2013;3(3):741–749.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.