Management of crown-root fracture encroaching biological width using biodentine

Crown root fractures of anterior teeth are complex dental injuries that present unique challenges due to the involvement of both the crown and root structures. These fractures often lead to concomitant periodontal injury, which can complicate the treatment outcome. Additionally, anterior fractures pose aesthetic and psychological concerns for the patient. Reattachment or restorative repair of fractures involving the coronal third of the root are notoriously prone to failure due to their proximity to the oral cavity leading to difficulty in isolation and bacterial contamination. Sub crestal fracture lines may also encroach the biological width complicating the management further. This case report details the clinical presentation of a patient with an anterior crown root fracture with the fracture line extending below the alveolar crest and was managed non-conventionally using Biodentine.

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Publication Details

Journal
IP Indian Journal of Conservative and Endodontics
Published
2024-12-03
DOI
https://doi.org/10.18231/j.ijce.2024.041
Primary Topic
Endodontics and Root Canal Treatments
Type
article
Field-Weighted Citation Impact
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article

Management of crown-root fracture encroaching biological width using biodentine

Mohammed Ashik, Chandini Raveendran, Elsy P Simon, Kavya Belaram et al.
IP Indian Journal of Conservative and Endodontics
Endodontics and Root Canal Treatments
article

Management of crown-root fracture encroaching biological width using biodentine

Mohammed Ashik, Chandini Raveendran, Elsy P Simon, Kavya Belaram, Shikhil T Sathyan
article en

Abstract

Crown root fractures of anterior teeth are complex dental injuries that present unique challenges due to the involvement of both the crown and root structures. These fractures often lead to concomitant periodontal injury, which can complicate the treatment outcome. Additionally, anterior fractures pose aesthetic and psychological concerns for the patient. Reattachment or restorative repair of fractures involving the coronal third of the root are notoriously prone to failure due to their proximity to the oral cavity leading to difficulty in isolation and bacterial contamination. Sub crestal fracture lines may also encroach the biological width complicating the management further. This case report details the clinical presentation of a patient with an anterior crown root fracture with the fracture line extending below the alveolar crest and was managed non-conventionally using Biodentine.

IP Indian Journal of Conservative and EndodonticsVol. 9(4)
KMCT Group of Educational Institutions (IN)
Good health and well-being
Openalex Percentile: Top 66%
Endodontics and Root Canal Treatments
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