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    How to use a universal nano-hybrid composite to restore a reattached tooth fragment

    Why G-ænial Sculpt from GC America is an ideal choice for dentists faced with restoring teeth.

    It is not uncommon for dentists to encounter young patients who present with Class IV anterior tooth fractures that result from a traumatic injury. In such instances, when the need for minimally invasive and conservative treatments are equally important to durability and esthetics, the use of direct restoratives and adhesive techniques can help to ensure success, rather than compromises.

    Achieving esthetic and functional success when reattaching a fractured tooth segment is predicated on establishing a secure bond between the two tooth substrates. However, not all adhesive bonding agents and resin cements demonstrate the same capabilities or compatibility with different restorative materials. Fortunately, a truly universal dual-cure adhesive resin cement, G-CEM LinkForce™ (GC America) simplifies the secure reattachment of fractured tooth fragments, regardless of whether self-curing or light-curing is required. When used in combination with an 8th-generation universal adhesive bonding agent, G-Premio BOND™ (GC America) — which is compatible with all etching techniques (e.g., total-etch, self-etch and selective-etch) — dentists can restore Class IV fractures while reducing the risk of postoperative sensitivity, discoloration and future signs of restoration wear.

    Trending article: Outside the box cosmetics for outside the guide results

    Among the esthetic direct composite materials available to achieve life-like and natural esthetics is a universal nano-hybrid composite, G-ænial Sculpt® (GC America). Demonstrating an ideal viscosity, optimal sculptability and excellent polishability, this nano-filler-based composite is an ideal choice for dentists faced with restoring teeth to which a fractured tooth segment has been reattached. Indicated for direct Class I, II, III, IV and V restorations, wedge-shaped defects and root surface cavities, and direct veneers and diastema closure, this non-sticky and compactable composite is available in a wide range of shades (17 shades, including opaque and enamel) to create chameleon-like esthetics that blend invisibly with surrounding natural dentition.

    Case presentation

    A 12-year-old male presented for a consultation for the restoration of the maxillary left central incisor (tooth No. 9), which was fractured when the patient was hit with a hockey stick while playing in gym class at school (Figs. 1 and 2). The patient had undergone endodontic treatment performed by an endodontist to stabilize the tooth one week earlier, and his parents were referred to the author via the American Academy of Cosmetic Dentistry (AACD) website.

    Fig. 1Fig. 2

    Fig. 1                                                                                                 Fig. 2

    Fortunately, the patient’s mother had retained the missing, fractured tooth segment (Fig. 3). Therefore, the treatment plan discussed with and accepted by the patient’s parents involved reattaching the fractured tooth segment using a universal dual-cure adhesive resin cement, G-CEM LinkForce, after which a compactable universal nano-hybrid composite, G-ænial Sculpt would be placed to directly veneer the facial and palatal surfaces of the tooth to mask the fracture line (Fig. 4).

    Fig. 3Fig. 4

    Fig. 3                                                                                                Fig. 4

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