'Biologic Restoration' - Two Case Reports

Bikash Jyoti Borthakur*, Ganesan S.**, Swathika B.***, Karthikeyan S.****
Periodicity:April - June'2018

Abstract

Permanent maxillary incisors are the most commonly involved teeth in dental trauma. This is attributable to their eruptive pattern and location in the arch. Such types of fractures reduce the quality of life of the patient. Restoration of such teeth appears to be one of the most challenging situations in operative dentistry due to high esthetic demands. As clinicians, we can have options ranging from light-cured composite resins to porcelain jacket crowns. However, selecting the correct treatment procedure in the right situation leads to the success of treatment.The term "Biologic Restoration" was coined by Santos and Bianchi in 1991 and has significantly widened the conventional treatment options available for the restoration of traumatized teeth. The availability of natural crowns and roots allows for the use of biologic restoration, which will not only provide aesthetics but also preserve the patient's natural dentition. This article presents two cases in which a homogenous fragment of extracted upper anterior teeth was used to restore the traumatized upper central incisor. Among these, the first case was restored using a metal post and the other with a light-transmitting fiber post. Written consent was obtained from both patients prior to the initiation of treatment after explaining the various treatment modalities.

Keywords

Biologic restoration, Dental trauma, Maxillary incisors, Esthetic demands, Operative dentistry, Light-cured composite resins, Porcelain jacket crowns, Natural crowns, Root preservation, Metal post, Fiber post, Treatment modalities.

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