Evidence map›Paper›PMID 39895011›Full record

ArticleJournal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]2025

Prognosis of Fragment Reattachment in Anterior Crown Fractures: A Retrospective Study.

Lisu Sung, Hyemin Ku, Yooseok Shin, Salma Swaid, Dohyun Kim, Byoung-Duck Roh

Abstract read
In one paragraph

Article in Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.], 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Clinical Outcomes of Fragment Reattachment and Direct Composite Restoration for Anterior Crown Fractures in Permanent Teeth: A Retrospective Cohort Study.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  2. Fracture Resistance of Reattached Tooth Fragments: Influence of Adhesive Curing Mode and Composite Viscosity.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  3. Managing Failed Fragment Reattachment: Influence of Surface Preparation and Chamfer Technique on Fracture Resistance.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lisu SungDepartment of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Hyemin KuDepartment of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Yooseok ShinDepartment of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Republic of Korea.
Salma SwaidDepartment of Endodontics, Jazan Specialized Dental Center, Jazan, Saudi Arabia.
Dohyun KimDepartment of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-0772-6985
Byoung-Duck RohDepartment of Conservative Dentistry and Oral Science Research Center, Yonsei University College of Dentistry, Seoul, Republic of Korea.

Funding

Yonsei University College of Dentistry Fund 6-2017-0016
6 · The paper itself

Abstract

objectiveAlthough several studies have compared fragment attachment with resin build-ups in anterior crown fractures, none have specifically investigated the outcome of reattached fragments. This retrospective study aimed to evaluate long-term outcomes of fragment reattachment in anterior crown fractures and determine the prognostic affecting their success. MATERIALS AND

methodsWe retrospectively analyzed clinical records of patients who underwent fragment reattachment for crown fractures in anterior teeth (maxillary and mandibular central and lateral incisors) between 2008 and 2023. All procedures were performed by experienced professors and residents following a standardized protocol. Kaplan-Meier survival curves and Cox proportional hazards regression analyses were performed to evaluate fragment retention outcomes and identify potential prognostic factors.

resultsAmong 75 anterior crown fractures, the estimated fragment retention rates were 83.7% at 2 years, 75.2% at 5 years, and 56.4% at 10 years. Multivariate Cox regression analyses identified patient age and extent of crown fracture as significant factors affecting outcomes. The 5-year estimated fragment retention rates were 82.8% and 67.0% for uncomplicated and complicated crown fractures, respectively.

conclusionsFragment reattachment remains a viable treatment option for anterior crown fractures. Treatment success decreased with patient age, and complicated crown fractures demonstrated lower retention rates than uncomplicated ones. CLINICAL SIGNIFICANCE: Fragment reattachment can provide predictable outcomes in anterior crown fractures when cases are carefully selected, particularly considering the patient's age and the type of crown fracture.

Indexed as

Dental BondingIncisorTooth CrownTooth FracturesAdolescentAdultAgedFemaleHumansMaleMiddle AgedPrognosisRetrospective Studiesanterior crown fracturefragment reattachmentprognostic factorretention rateretrospective study

Identifiers

PMID39895011
PMCPMC12087939

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.