Effect of fractured or sectioned fragments on the fracture strength of different reattachment techniques

Oper Dent. 2004 May-Jun;29(3):295-300.

Abstract

This study evaluated the effect of fractured or sectioned fragments on the fracture strength recovery of four techniques used for reattachment and resin composite buildups. Ninety-one sound, permanent lower central incisors were used. Half the teeth were fractured in the incisal-proximal edge; the other half had the incisal-proximal edge sectioned by a diamond saw. Teeth from each half were randomly divided into five techniques: 1) bonded only; 2) chamfer; 3) over-contour; 4) internal dentinal groove and 5) resin composite buildup. An adhesive system and dual cure resin cement were employed for the reattachment. Restored teeth were subjected to load in a specific point on the buccal surface. Based on the fracture strength of sound teeth, a fracture strength recovery was calculated for each tooth. A one-way ANOVA and Tukey's test (alpha=0.05) were used to evaluate differences between the techniques for each method of obtaining fragments. The fracture strength recovery of similar techniques was evaluated by a Student t-test (alpha=0.05). No differences could be detected among reattachment techniques when fragments were obtained by sectioning. In groups where the fragments were fractured, Techniques 3 and 4 showed the highest fracture strength recovery. The resin composite buildup provided fracture strength recovery similar to intact teeth regardless the way fragments were obtained.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Composite Resins / therapeutic use
  • Dental Bonding
  • Dental Restoration, Permanent / methods*
  • Dental Stress Analysis / methods
  • Humans
  • Incisor
  • Statistics, Nonparametric
  • Tooth Crown / injuries
  • Tooth Fractures / therapy*
  • Tooth Preparation / methods

Substances

  • Composite Resins