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Fragment Reattachment of Immature Permanent Incisors: Clinical Procedures and the Development of an Algorithm
1Unit of Pedodontics and Preventive Dentistry, Oral Health Sciences Center, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Journal of Pediatric Dentistry 2022; 8(1): 51-58 DOI: 10.14744/JPD.2021.10_70
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Reattachment of fractured fragments provides the easiest and most aesthetic rehabilitation of fractured teeth, wherever possible. In clinical practice, these cases may have a wide spectrum of presentations, which includes different dehydration times of the fractured fragments, various methods of storage of the fragments, and many reattachment techniques. However, no well-defined protocol exists to guide the reattachment of fractured teeth in such different clinical scenarios. An attempt to develop an algorithm to guide the reattachment of fractured teeth in varied clinical scenarios has been made, using the reports of such cases treated at our center and reviewing the various fragment reattachment techniques mentioned in the literature. This report also describes, in detail, two cases of fractured immature permanent incisors with different extraoral dry time periods (60 days and 18 h) that were successfully treated by reattachment of fractured fragments. Fragment reattachment was found to be a functional and aesthetically acceptable treatment option in restoring the integrity of fractured permanent incisors irrespective of the time elapsed, as the fracture provided the dehydrated fragments was rehydrated before reattachment.