Comparison of shear bond strengths with different bevel preparations for the reattachment of fractured fragments of maxillary central incisors. 2020

Arezou Ghoreishizadeh, and Foorough Mohammadi, and Yashar Rezayi, and Mohammadali Ghavimi, and Tannaz Pourlak
Department of Pediatric, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

OBJECTIVE Fractures of anterior teeth are a highly prevalent form of dental trauma. Among the various treatment options, reattachment of the fractured part to the remaining tooth has a lot of advantages. The aim of this study was to compare different bevel preparation techniques when reattaching fractured fragments to maxillary central incisors. METHODS This study was performed on 52 maxillary central incisors that were randomly divided into 3 experimental groups and 1 control group. In the control group, the repair was done by attaching the fractured fragment using bonding and composite resin without any bevel preparation. In the second and third groups, the bevel preparation was done to a depth of 0.5 mm before attachment of the fragment on the palatal side of the fracture and on the labial and palatal sides, respectively. In the fourth group, after tooth preparation, a 0.5 mm composite veneer was placed on the labial surface. The amount of force needed to refracture the tooth was measured with a universal testing machine, and shear bond strength was calculated in MPa. RESULTS The mean and standard deviation (mean ± SD) of shear bond strengths in the control group were 81.48 ± 8.18 MPa. In the palatal bevel group, they were 97.74 ± 11.41 MPa; in the labial and palatal bevel group, 131.56 ± 9.25 MPa; and in the composite veneer group, 104.36 ± 5.50 MPa. Significant differences were observed between the groups, but there was no significant difference between the palatal bevel and composite veneer groups. CONCLUSIONS Reattachment of the fractured fragments by all three methods increased the shear bond strength. The highest shear bond strength was obtained when both labial and palatal bevels were used.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D003188 Composite Resins Synthetic resins, containing an inert filler, that are widely used in dentistry. Composite Resin,Resin, Composite,Resins, Composite
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014082 Tooth Fractures Break or rupture of a tooth or tooth root. Fracture, Tooth,Fractures, Tooth,Tooth Fracture
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin
D033081 Shear Strength The internal resistance of a material to moving some parts of it parallel to a fixed plane, in contrast to stretching (TENSILE STRENGTH) or compression (COMPRESSIVE STRENGTH). Ionic crystals are brittle because, when subjected to shear, ions of the same charge are brought next to each other, which causes repulsion. Strength, Shear

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