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Case report shows effective crack management in vital teeth, indicating potential for enhanced dental practice.
Background Successful management of crown originating dental fractures requires cuspal coverage restorations. This case report describes a protocol for fracture line treatment aiming to maintain pulp vitality in cracked teeth before crown placement.Case Description An occlusal dentin fracture line in the crown of a maxillary molar with vital pulp was disinfected with 0.12% chlorohexidine gluconate, followed by acid etching and sealing with a dentin adhesive. The tooth was restored with a gold crown. The tooth has been asymptomatic, functional, with vital pulp responses, and no radiographic deterioration over a 10-year follow-up period.
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Jambi et al. (2026) studied this question.
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