Retrospective evaluation of fragment re-attachment

Aim. to retrospectively evaluate a case series of traumatized teeth where a fragment re-attachment procedure had been performed. Methods. All teeth included in the case series had undergone a fragment re-attachment procedure after a trauma in the anterior region. The fragment re-attachment procedure was performed according to a protocol accepted in literature (Chazine et al. Dental Traumatology 2011). The teeth included in this study were re-evaluated after a period ranging from 3 to 31 years. All data were collected using a questionnaire especially created for this purpose. 25 questionnaires were included in the study. Results. All teeth evaluated in this retrospective study still had the fragment in place and none of them had to undergo a new re-attachment procedure. The fact of having a post re-attachment bevel ensured good stability to the re-attached fragment. All cases are still under control to ensure consistency in the data analyzed. Conclusions. The procedure of fragment re-attachment ensures colour stability, pulp vitality and long-term durability. The use of the fragment is then highly recommended after a Ellis class II or III.