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ISSN 2063-5346
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Knowledge, awareness, and practice of postgraduate students towards tooth fragment reattachment procedure and biological restorations โ€“ A cross-sectional survey

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Dr. Mohit K Gunwal, Dr. Kamal P Bagda, Dr. Kunjal Mistry
ยป doi: 10.31838/ecb/2023.12.si4.262

Abstract

Fragment reattachment offers an effective and economical approach to re-establishing esthetics and functions after any traumatic injury which leads to tooth fracture. The current study intends to assess and determine postgraduate students' understanding of the fragment reattachment procedure and biological restorations as well as their awareness about it. Material and methods: The cross-sectional survey of postgraduate students was conducted using a self-administered questionnaire. Responses to questions about fragment reattachment techniques' knowledge, awareness, and practice were recorded. Descriptive statistical analysis was performed. Results: Two hundred ninety-three subjects participated in the current study. Out of the 293 subjects, 247 (84.3%) had experienced tooth fracture and only 102 (34.81%) had performed tooth reattachment during postgraduate training. Supra gingival fractures (66.8%) involving enamel and dentin (Ellis Class II) were the most encountered type (47.27%). The storage medium and bonding material preferred were saline and dual cure composite resins, respectively. 191 (65.19%) participants did not perform fragment reattachment procedures and the main reason for the same was lack of fragment availability (45.03%). 290 (98.98%) participants never used extracted teeth for restorative purposes and 209 (71.33%) participants did not know about different procedures in biological restorations. All the participants responded that they neither received clinical training for biological restorations nor did they have a tooth banking system nearby. Conclusions: Postgraduate students had theoretical knowledge about the fragment reattachment procedures but did not perform them mainly because of non-availability of the fragment, no clinical knowledge & training and concerns regarding questionable success of the procedure. Majority of participants were unaware about all the procedures under the concept of biological restorations and also never used extracted teeth for restorative purposes.

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