期刊
HEAD & FACE MEDICINE
卷 10, 期 -, 页码 -出版社
BMC
DOI: 10.1186/1746-160X-10-9
关键词
Biodentine; Calcium silicate cement; MTA; Treatment; Vertical root fracture
资金
- Deutsche Forschungsgemeinschaft
- Open Access Publication Fund of University of Muenster, Germany
Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the existing retrograde root canal filling removed. The enlarged fracture line and the retrograde preparation were filled with a calcium-silicate-cement (Biodentine). Afterwards the tooth was replanted and a titanium trauma splint was applied for 12d. A 24 months clinical and radiological follow-up showed an asymptomatic tooth, reduction of the periodontal probing depths from 7 mm prior to treatment to 3 mm and gingival reattachment in the area of the fracture with no sign of ankylosis. Hence, the treatment of VRF with Biodentine seems to be a possible and promising option.
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