‘Biological restoration’: total crown anterior

Abstract

Restorative odontology is in constant evolution and is constantly seeking more aesthetic solutions to attend to demands from patients in search of the perfect smile. The case study presented herein refers to the aesthetic and functional recuperation of dental element 21, through the use of a dental fragment obtained through an extracted tooth, a technique known as 'Biological Restoration'. The results obtained, which were highly satisfactory, lead one to conclude that this technique can be considered as an alternative to all others and can be carried out successfully, quickly, and inexpensively.

Biological restoration: A solution for restoring teeth with coronal fractures in young patients

“…Careful attention should be given to this problem, which is a great challenge in the modern restorative dentistry. [5,11,12] Due to fracture of maxillary central incisors, some treatments may be suggested, such as removal of the fragment, followed by restoration, [13] allogeneic collage, [2,6,8,[13][14][15][16] increased clinical crown, [13,17] orthodontic extrusion (with or without gingivoplasty), [13] extraction, followed by implant and/or conventional fixed prostheses. [13,17] In a young patient, some factors must be considered, such as occlusion, hygiene, treatment time, incomplete bone growth and tooth eruption, longevity, need to change the restoration over time.…”

“…It is shown that dental trauma corresponds to 18% of all injuries occurred in children at preschool age. [1] According to Tavano et al, 2009, [2] almost 79% of children between 9 and 14 years have suffered some type of dental injury. This fact is related to the practice of sports and leisure activities, functional and psychological problems.…”

“…[6,7] Therefore, several authors suggest the use of natural teeth fragments as a restorative option to traumatized anterior teeth or the combination of these fragments with other restorative techniques. [2,8,9] The homogenous bonding, a situation in which the dental fragment can be bonded to the remaining tooth, consists in a simple and fast technique, with excellent cosmetic results. [6,8,10] On the other hand, when the fragment is not present or it is not in a good condition, there is a possibility to use a teeth obtained from an human teeth bank, technique known as "biological restoration," which is more suitable for large reconstructions [2,8 10] The esthetic result of these restorations is quite satisfactory because the color and anatomical details are more natural than those of artificial teeth.…”

Bio Posts: Tooth for Tooth.

“…8 Various other authors have successfully used such biological posts to restore fractured tooth. 1,2,11 However there are certain limitations, such as finding teeth with proper bulk, color, and patients refusal to treatment. 2,11 This case report describes the dentinal post made from natural extracted sterilized tooth for restoration of fractured anterior tooth.…”

Esthetic and Functional Rehabilitation of Fractured Central Incisors using Biological Post

“…6 Several authors have suggested the use of natural teeth fragments as an efficient method for restoring fractured anterior teeth. 6,7 When the patient presents the fragment in good condition, this procedure presents optimal results in the restoration of fractured teeth (autogenous bonding). 6,8,9 However, when the patient does not present the fragment, or its use is not recommended, donated extracted teeth (homogeneous bonding) can be used.…”