{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T09:09:24Z","timestamp":1785575364208,"version":"3.56.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,24]],"date-time":"2020-02-24T00:00:00Z","timestamp":1582502400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Aims<\/jats:title><jats:p>Adhesive fragment reattachment (AFR) is one treatment option for crown\u2010root fractured teeth. However, there are no studies investigating the long\u2010term outcome of this approach. The aim of this retrospective study was to evaluate the long\u2010term outcome of AFR and periodontal health in crown\u2010root fractured teeth by assessing complications and periodontal status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Data regarding 41 patients with 51 traumatized teeth (TT) were included. Periodontal health was assessed by recording the pocket probing depth (PPD), clinical attachment level (CAL), bleeding on probing (BoP), gingival index (GI), and plaque index (PI) in the TT and in one unaffected control tooth (CT). Complications were classified as \u201crestorative,\u201d \u201cendodontic,\u201d and \u201cadditional root fracture.\u201d Based on these complications, the outcome was graded as \u201csuccess,\u201d \u201cpartial success,\u201d \u201csurvival,\u201d and \u201cfailure.\u201d Statistics was performed by <jats:italic>t<\/jats:italic> test, chi\u2010square test and logistic regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>After 8.5\u00a0\u00b1\u00a04.6\u00a0years, 76.5% (39\/51) of the TT had functionally survived. Functional survival of the reattached fragments was 66.7% (26\/39) after 9.5\u00a0\u00b1\u00a03.7\u00a0years. PPD (TT: 4.11\u00a0\u00b1\u00a02.03; CT: 2.08\u00a0\u00b1\u00a00.65), CAL (TT: 4.78\u00a0\u00b1\u00a02.19; CT: 2.42\u00a0\u00b1\u00a01.03), and BoP values (TT: 77.4%; CT: 22.6%) were higher in TT than in CT. GI scores\u00a0&gt;\u00a00 were found in 83.3% of the TT and in 27.8% of the CT. PI scores did not differ between TT and CT. Of the complications, 56.8% were \u201crestorative,\u201d 22.7% \u201cendodontic,\u201d and 20.5% \u201cadditional root fractures.\u201d Eleven (27.5%) TT were without complications and rated as \u201csuccess.\u201d<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>AFR in crown\u2010root fractured teeth showed a high survival rate and occasionally compromised periodontal health. However, due to the high complication rate, it should be considered as a long\u2010term temporary treatment to postpone other invasive therapy options. AFR can be a valuable way to avoid early loss of crown\u2010root fractured teeth, especially in young patients. Moisture control and additional root fractures significantly influenced the outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/edt.12550","type":"journal-article","created":{"date-parts":[[2020,2,7]],"date-time":"2020-02-07T14:28:25Z","timestamp":1581085705000},"page":"417-426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Long\u2010term outcome of adhesive fragment reattachment in crown\u2010root fractured teeth"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0887-9550","authenticated-orcid":false,"given":"Sebastian","family":"Soliman","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa\u2010Marie","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"Hahn","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Reich","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrich","family":"Schlagenhauf","sequence":"additional","affiliation":[{"name":"Department of Periodontology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Krastl","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1412-726X","authenticated-orcid":false,"given":"Ralf","family":"Krug","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Periodontology Center of Dental Traumatology University Hospital of W\u00fcrzburg W\u00fcrzburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,24]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-263X.2001.00277.x"},{"key":"e_1_2_11_3_1","first-page":"329","article-title":"Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1,298 cases","volume":"78","author":"Andreasen JO","year":"1970","journal-title":"Scand J Dent Res"},{"key":"e_1_2_11_4_1","first-page":"669","article-title":"Long\u2010term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study","volume":"26","author":"Andreasen FM","year":"1995","journal-title":"Quintessence Int"},{"key":"e_1_2_11_5_1","first-page":"343","article-title":"Reattachment of a severely traumatized maxillary central incisor, one\u2010year clinical evaluation: a case report","volume":"8","author":"El\u2010Askary FS","year":"2006","journal-title":"J Adhes Dent"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0039-1698334"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-051X.2009.01458.x"},{"key":"e_1_2_11_8_1","first-page":"393","article-title":"Crown\u2010root reattachment of a severe subgingival tooth fracture: a 15\u2010month periodontal evaluation","volume":"30","author":"Giachetti L","year":"2010","journal-title":"Int J Periodontics Restorative Dent"},{"key":"e_1_2_11_9_1","first-page":"e18","article-title":"Crown\u2010root fracture with pulp exposure: a case report with 16\u2010year follow\u2010up","volume":"63","author":"Moura LF","year":"2015","journal-title":"Gen Dent"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.2341\/15-080-T"},{"key":"e_1_2_11_11_1","first-page":"252","volume-title":"Textbook and color atlas of traumatic injuries to the teeth","author":"Andersson L","year":"2019"},{"key":"e_1_2_11_12_1","first-page":"289","volume-title":"Farbatlanten der Zahnmedizin 17","author":"Van Waes HJM","year":"2001"},{"key":"e_1_2_11_13_1","first-page":"205","volume-title":"SPSS survival manual","author":"Pallant J","year":"2016"},{"key":"e_1_2_11_14_1","first-page":"124","article-title":"Current aspects of restoring traumatically fractured teeth","volume":"6","author":"Krastl G","year":"2011","journal-title":"Eur J Esthet Dent"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prosdent.2018.02.006"},{"key":"e_1_2_11_16_1","first-page":"385","article-title":"Clinical considerations for reattachment of tooth fragments","volume":"31","author":"Chu FC","year":"2000","journal-title":"Quintessence Int"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-9657.2002.00004.x"},{"key":"e_1_2_11_18_1","first-page":"88","article-title":"Multidisciplinary approach to the management of complicated crown\u2010root fracture: a case report","volume":"7","author":"Bajaj P","year":"2015","journal-title":"J Int Oral Health"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2591.1999.00199.x"},{"key":"e_1_2_11_20_1","first-page":"e620","article-title":"Management of a crown\u2010root fracture: a novel technique with interdisciplinary approach","volume":"10","author":"Artieda\u2010Estanga A","year":"2018","journal-title":"J Clin Exp Dent"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2008.01.001"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/jerd.12181"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fedt.12550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12550","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.12550","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.12550","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T01:17:43Z","timestamp":1693617463000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.12550"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,24]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1111\/edt.12550"],"URL":"https:\/\/doi.org\/10.1111\/edt.12550","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,2,24]]},"assertion":[{"value":"2019-12-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-01-30","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-02-24","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}