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Copyright © 2024 Kênia Maria Soares de Toubes et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/

Abstract

Purpose. The authors of this study proposed an innovative approach involving the use of Biodentine™ material as an intraorifice barrier in cracked teeth with root extension to promote internal crack sealing, preventing the possibility of microinfiltration and apical crack propagation. Materials and Methods. The dental records of 11 patients with 12 posterior cracked teeth with root extension were included with a precise protocol performed by a senior endodontist. The treatment protocol included pulp diagnosis, crack identification using a dental operating microscope (DOM), endodontic treatment, placing a Biodentine™ as an intraorifice barrier, and immediate full-coverage restoration. The effectiveness of the treatment was assessed at two intervals, 6 months, and 1−3 years posttreatment, evaluating clinical, radiographic, and tomographic aspects. The treatment was deemed successful if there were no indications of radiolucency, sinus tracts, edema, or periodontal pockets associated with the crack line. Results. The study observed remarkably positive outcomes during the follow-up period, which spanned from 1 to 3 years. All the cracked teeth (100%) remained asymptomatic, meaning they were free of pain or discomfort. Furthermore, these teeth were in occlusal function. Both radiographic and tomographic assessments revealed the absence of bone loss along the crack line. This outcome signifies that the treatment effectively prevented further deterioration of the surrounding bone. Conclusions. Integrating advanced biomaterials and conservative restorative techniques has paved the way for innovative approaches in dental care. This protocol suggests a proactive step for managing cracked teeth with root extension. It addresses both biological aspects by sealing internal cracks and mechanical aspects by preventing crack progression, thereby improving these teeth’ prognosis and long-term survival.

Details

Title
Managing Cracked Teeth with Root Extension: A Prospective Preliminary Study Using Biodentine™ Material
Author
Kênia Maria Soares de Toubes 1   VIAFID ORCID Logo  ; Isabella Sousa Corrêa 2   VIAFID ORCID Logo  ; Regina Célia Lopes Valadares 3   VIAFID ORCID Logo  ; Stephanie Quadros Tonelli 4   VIAFID ORCID Logo  ; Fábio Fernandes Borém Bruzinga 2   VIAFID ORCID Logo  ; Frank Ferreira Silveira 2   VIAFID ORCID Logo 

 Department of Dentistry, Uniube University, Uberaba, MG, Brazil 
 Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, MG, Brazil 
 Department of Dentistry, Faculty Arnaldo, Belo Horizonte, MG, Brazil 
 Department of Dentistry, José do Rosario Vellano University, Divinópolis, MG, Brazil 
Editor
Dr Karthikeyan Ramalingam
Publication year
2024
Publication date
2024
Publisher
John Wiley & Sons, Inc.
ISSN
16878728
e-ISSN
16878736
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3056517394
Copyright
Copyright © 2024 Kênia Maria Soares de Toubes et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0/