Biologic Foundation Restoration: A Natural Post And Core For Management

Abstract

Complicated crown fractures are a common outcome of dental trauma. Various treatment options are available for consideration. The preferred choice of treatment though, is determined by multiple factors associated with the nature of trauma itself. This case report highlights the management of a cervical crown fracture by modifying the clinical technique of an existing concept of the "Biologic Post and Core" and integrating it with current advances in adhesive technology, with an intention for preservation and reinforcement of residual tooth structure. The clinical success observed during subsequent patient recall has given reason for optimism in considering the employed method as a possible alternative to address this area of prosthetic concern.

Keywords: Biologic foundation restoration; Coronal fracture; Natural tooth post and core.

Fig. 1

a Pre operative view of fractured maxillary left canine. b Diagnostic radiograph of fractured maxillary left canine

Fig. 2

a Direct Wax pattern compared to Autoclaved donor tooth. b Clinical view of biologic foundation restoration

Fig. 3

a Clinical view of core build up with composite. b Post cementation radiograph of biologic foundation restoration

Fig. 4

Clinical view of prepared core

Fig. 5

a, b, Clinical labial and palatal view of cemented crown. c Radiographic view after crown cementation

Fig. 6

Radiographic view (1 year follow up)