Page 22 - Dental Practice August 2022

endodontic section

2. Ever-Stick (G.C.) individually silanated Braided Pre-impregnated silanized E-glass
E-glass Fibres pre-impregnated with PMMA fibres with Bis-GMA
and Bis-GMA polymer to form an IPN 5. QUARTZ SPLINT® (RTD Dental,
Article Citation
structure which results in bonding between France) is pre-impregnated with a propri- Chauhan, M. (2022). A novel way to
Fibres and Matrix. This works effectively etary resin matrix which chemically bonds re-attach fractured incisal crown witth
with both; composite and acrylic systems. to composite. The woven “QUARTZ FRC. Dental Practice, 18(4), 20-23
3. Woven Polyethylene Fibres (Ribbond, by SPLINT®” has been specially designed to
Ribbond) without a bonding agent. attain as trong and effective splint or span
4. Interlig (Angelus, Londrina, Brazil) using very little space and bulk of material.

Here, I present step by step procedure for permanently reattaching patients fractured incisal crown with Fiber Reinforced Composites materials.

FIG 1: This 24-year-old male patient came to our clinic with a fractured Left Upper Central Incisor FIG 2: Luckily the patient had brought along his detached
(Tooth #21) as a result of fall, Radiograph shows frank pulpal exposure and an intact root. tooth portion without any missing multiple small fragments

FIG 3: Missing tooth
fragment being
approximated for
checking integrity.
Note: the distal
edge of the tooth
is slightly angulat-
ed and the tooth
itself is slightly
forwardly placed,
the reason it hit
the floor first.
FIG 4a

FIG 4: These views
show 3 different
stages of fractured
segment reattach-
ment using Gaenial G-
Premio Bond (GC) and
Gaenial Injectable
Composite (GC). Prior
to this the tooth was
Root Canal Treated
and Bioceramic based
Root Canal Sealer
(Ceraseal Meta
FIG 4b FIG 4c BioMed) along with
Gutta Percha was
used
22 Dental Practice // July-August 2022 // Vol 18 No 4