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Quasistatic Mechanical Testing for Computer-Aided Design and Manufacturing Occlusal Veneers Cemented to Milled Dentin Analog Material

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Managing Cracked Teeth with Root Extension: A Prospective Preliminary Study Using Biodentine™ Material.

Kênia Maria Soares de Toubes¹, Isabella Sousa Corrêa², Regina Célia Lopes Valadares³

¹Department of Dentistry, Uniube University, Uberaba, MG, Brazil.

International Journal of Dentistry

|May 17, 2024

Summary

Biodentine™ effectively seals internal cracks in teeth with root extension, preventing further damage and preserving tooth function. This innovative approach shows 100% success in a 1-3 year follow-up, maintaining asymptomatic teeth.

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Area of Science:

Endodontics
Dental Biomaterials
Restorative Dentistry

Background:

Cracked teeth with root extension pose a significant restorative challenge.
Microinfiltration and crack propagation can lead to tooth loss.
Conservative management strategies are crucial for improving prognosis.

Purpose of the Study:

To evaluate Biodentine™ as an intraorifice barrier for internal crack sealing in cracked teeth with root extension.
To prevent microinfiltration and apical crack propagation.
To assess the long-term clinical, radiographic, and tomographic outcomes of this treatment.

Main Methods:

A retrospective study of 11 patients with 12 cracked teeth.
Treatment involved endodontic therapy, Biodentine™ intraorifice barrier placement, and full-coverage restoration.
Follow-up assessments at 6 months and 1-3 years included clinical, radiographic, and tomographic evaluations.

Main Results:

100% of treated teeth remained asymptomatic and in occlusal function at 1-3 years.
No radiographic or tomographic evidence of bone loss along the crack line was observed.
The treatment effectively prevented crack progression and associated complications.

Conclusions:

Biodentine™ serves as an effective intraorifice barrier in managing cracked teeth with root extension.
This conservative approach promotes internal crack sealing and prevents microinfiltration.
The technique improves the prognosis and long-term survival of cracked teeth.