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

Figure 1

Initial digital radiography of tooth #31 shows symptomatic apical periodontitis (A); the presence of CLs in the lingual, buccal, mesial, and distal surfaces and class I amalgam restoration was identified under DOM (B–D); no periodontal probing depth was noticed (E); waste face and occlusal interferences were observed in the working movements (black arrows) (F, G); amalgam was removed, and CLs were assessed under DOM (H, I); internally, the crack line extended 2.0 mm beyond the level of the distal canal orifice (white arrow) (J); endodontic treatment was performed and Biodentine™ intraorifice barrier was placed 2.0 mm deepest the CL (black arrow) (K); preparation of full-crown coverage was performed and images from CEREC (Zurich, Switzerland) milling machine (L–N); bonded full-crown coverage in E-MAX (Ivoclar Vivadent, SP, Brazil) was fixed (O); final digital radiograph was taken after definitive restoration (P).