From the Research
Surgical reattachment is possible, as evidenced by a recent study published in 2021, which found that fragment reattachment after complicated crown-root fractures of anterior teeth can be a viable treatment option if the clinical conditions are favorable 1.
Key Considerations
- The success of reattachment depends on several factors, including the condition of the severed part and the remaining tissue, and the nature of the injury.
- Time is critical, with the best outcomes occurring when reattachment is performed promptly.
- The procedure involves reconnecting blood vessels, nerves, tendons, and bones using microsurgical techniques.
- Even with successful reattachment, patients typically require extensive rehabilitation and may not regain full function or sensation.
Relevant Evidence
- A study published in 2020 found that reattachment of a dehydrated tooth fragment using retentive holes can be a successful treatment option 2.
- Another study published in 2019 found that the reattachment procedure for acute avulsion fracture of the Achilles tendon can achieve firm fixation and promising outcomes 3.
Clinical Implications
- Surgical reattachment should be considered as a treatment option for patients with severed or amputated body parts, including teeth, fingers, toes, hands, arms, and other extremities.
- Clinicians should carefully evaluate the condition of the severed part and the remaining tissue, as well as the nature of the injury, to determine the best course of treatment.
- Prompt reattachment is critical to achieving the best outcomes, and patients should be transported to a hospital with microsurgical capabilities as quickly as possible.