Fragment reattachment in traumatized teeth: resistance assessment to fracture and Comparison of survival of composite resin restorations and fragment reattachment - a systematic review
fragment reattachment; coronary fracture; dental trauma
“Introduction: The rehabilitation of damaged anterior teeth is a significant concern in modern dentistry, especially in cases of dental trauma. As coronary diseases represent around 92% of dental trauma to permanent teeth, with a prevalence among adolescents and young adults, they are considered a public health problem. In this context, resin composite restoration and the frozen fragment grouping technique are widely used for functional and aesthetic recovery of affected teeth. These techniques are influenced by the choice of different intermediate materials and pre-treatment preparations to achieve a good survival rate. Aim: Evaluate the effect of different composite resins associated or not with previous preparations on the fracture resistance of teeth after the dental fragment bonding technique (study 1 - in vitro study); compare the survival rates of composite resin restorations about the fragment bonding technique in complicated fractures in permanent teeth (study 2 - systematic review). Materials and methods: In study 1, 180 bovine incisor teeth will be fractured and randomized into groups (n=18). Each specimen, after fracture simulation, will be distributed into the following groups: G0: healthy tooth; G1 to G4: bonding with conventional resin: G1 without prior preparation; G2 with bevel preparation throughout; G3 with channel preparation; G4 with chamfer preparation; G5 to G8: bonding with fluid resin: G5 without prior preparation; G6 with bevel preparation throughout; G7 with channel preparation and G8 with chamfer preparation. The data will be subjected to analysis of variance (ANOVA) using two criteria (intermediate material and type of preparation), followed by the Tukey test (5%). In study 2, a systematic review is being carried out, based on the PRISMA 2020 guideline, registered in the PROSPERO database (CRD42024569156) and entitled: “Comparison of survival rates of composite resin restoration and fragment bonding technique in complicated crown fractures of permanent anterior teeth: a systematic review”. The search strategy was applied to the following databases: Pubmed, Embase, Web of Science, Scopus, LILACS, Livivo and Cochrane and duplicates were removed through EndNote and Rayyan in November and December/2024, the remaining steps are described in the schedule of this study, which are planned to be completed in February/2025".