Acid-etch/composite anterior
resin
restoration
of fractured
teeth
Anna B. Fuks, C.D.,* and Joseph Shapira, D.M.D.** Hebrew University-Hadassah School of Dental Medicine,
Jerusalem,
Israel
R
epair of fractured incisal angles of anterior teeth has always been a difficult procedure, particularly when done for children. Retention and esthetics are problems and a variety of procedures have been proposed, none of them fulfilling the requirements of an ideal restoration. Thus, a more esthetic restoration, such as a complete veneer crown, involves radical tissue removal which jeopardizes the vitality of the young pulp. Presently, there is no material capable of forming an adhesive bond with an untreated enamel surface under oral conditions. Several reports have indicated that satisfactory retention can be achieved after etching of the enamel surface.l-+’ Several modifications of this technique have been reported. 5-10 Different restorative materials have been applied to the etched area, among them filled and unfilled resins. Ward, Buonocore, and Woolridge I1 described the use of a restorative material in conjunction with a fissure sealant, which was polymerized by ultraviolet light. The resin functioned as a bonding medium between the tooth and the composite material, and these authors claimed that the result was increased retention of the restoration.12, I3 Barbakow and associates14 report a clinical study in which fractured incisal edges and other hypoplastic lesions were successfully restored with Restodent.? This investigation evaluated retention and the esthetic results of acid-etched Restodent restorations placed on fractured permanent anterior teeth. MATERIALS
AND
METHODS
The study began in August, 1973, and ended in May, 1975. The data on 63 children, ranging in age from 8 to 16 years, were recorded. Seventy per cent of the children were between 9 and 12 years of age. The patients were treated at the First Aid Clinic of the Pedodontic Department and received appropriate emergency care.15 Upon radiographic evidence of apical closure, 92 teeth were restored. Of *Instructor, Department of Pedodontics. **Assistant, Department of Pedodontics. +Lee Pharmaceuticals, South El Monte, Caiif. 639
640
Fuks
Table I. Evaluation various periods Postoperative lime (mo.)
resin
restoration
of fractured
teeth
Anna B. Fuks, C.D.,* and Joseph Shapira, D.M.D.** Hebrew University-Hadassah School of Dental Medicine,
Jerusalem,
Israel
R
epair of fractured incisal angles of anterior teeth has always been a difficult procedure, particularly when done for children. Retention and esthetics are problems and a variety of procedures have been proposed, none of them fulfilling the requirements of an ideal restoration. Thus, a more esthetic restoration, such as a complete veneer crown, involves radical tissue removal which jeopardizes the vitality of the young pulp. Presently, there is no material capable of forming an adhesive bond with an untreated enamel surface under oral conditions. Several reports have indicated that satisfactory retention can be achieved after etching of the enamel surface.l-+’ Several modifications of this technique have been reported. 5-10 Different restorative materials have been applied to the etched area, among them filled and unfilled resins. Ward, Buonocore, and Woolridge I1 described the use of a restorative material in conjunction with a fissure sealant, which was polymerized by ultraviolet light. The resin functioned as a bonding medium between the tooth and the composite material, and these authors claimed that the result was increased retention of the restoration.12, I3 Barbakow and associates14 report a clinical study in which fractured incisal edges and other hypoplastic lesions were successfully restored with Restodent.? This investigation evaluated retention and the esthetic results of acid-etched Restodent restorations placed on fractured permanent anterior teeth. MATERIALS
AND
METHODS
The study began in August, 1973, and ended in May, 1975. The data on 63 children, ranging in age from 8 to 16 years, were recorded. Seventy per cent of the children were between 9 and 12 years of age. The patients were treated at the First Aid Clinic of the Pedodontic Department and received appropriate emergency care.15 Upon radiographic evidence of apical closure, 92 teeth were restored. Of *Instructor, Department of Pedodontics. **Assistant, Department of Pedodontics. +Lee Pharmaceuticals, South El Monte, Caiif. 639
640
Fuks
Table I. Evaluation various periods Postoperative lime (mo.)
