In vivo Study of Use of Bioceramic Material in Open Crown-root Fractures

Abstract

Treatment of crown root fracture is complex and requires an accurate diagnostic and treatment plan. The purpose of this article is to report a case of a maxillary central incisor with a crown-root fracture with pulp exposure treated and rehabilitated with the preservation of pulp vitality using a micro-pulpotomy and pre-mixed bioactive endodontic cements followed by zirconia restauration, a bioinert ceramic material, milled using CAD/CAM technology. The preservation of pulp vitality using premixed bioceramic materials, ensures the continuation of dentinogenesis with its benefits, higher resistance of radicular walls against fracture, smaller diameter of apical foramen as well as creating conditions over time for a post retained crown with better aesthetic results.