Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report

Suresh Shenvi; Priyankar Roy; Kavalipurapu Venkata Teja

doi:10.7126/cumudj.1969414

EN

Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report

Abstract

Vertical crown-root fractures (VCRFs) are complex traumatic injuries often deemed non-restorable. Recent advances in biomimetic materials and minimally invasive techniques allow for new treatment possibilities.A 21-year-old female presented with traumatic injuries to the maxillary anterior region. Teeth 11 (right central incisor) and 21 (left central incisor) exhibited complicated crown-root fractures extending subgingivally. Clinical and radiographic assessments, including CBCT, confirmed the diagnosis.Endodontic treatment was initiated. Tooth 21 palatal fragment was reattached using a horizontal fiber-reinforced composite post. A bioceramic sealer was used for obturation. Tooth 11 received a vertical post and both teeth were later restored with zirconia crowns.At the 1 year review, the patient was asymptomatic with no clinical or radiographic signs of failure. Esthetic and functional outcomes were stable and satisfactory.The combined use of bioceramic sealers and horizontal fiber posts can provide a conservative yet effective solution for anterior teeth with subgingival VCRFs, preserving natural dentition and function.

Keywords

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References

1. Can Say E, Dikici B, Çakar G. A multidisciplinary approach for the restoration of a crown-root fracture with the involvement of supracrestal attached tissues: a case report with 7 year follow up. Cumhuriyet Dent J 2021;24:105-112.
2. Ramachandran A, Khan SIR, Al-Maslamani M, Baskaradoss JK. Pattern of traumatic dental injuries among adults. Open Access Emerg Med 2021;13:201-206.
3. Rivera EM, Walton RE. Longitudinal tooth cracks and fractures: an update and review. Endod Topics 2015;33:14-42.
4. Haueisen H, Gärtner K, Kaiser L, Trohorsch D, Heidemann D. Vertical root fracture: prevalence, etiology, and diagnosis. Quintessence Int 2013;44:467-474.
5. Roh BD, Lee YE. Analysis of 154 cases of teeth with cracks. Dent Traumatol 2006;22:118-123.
6. Al-Haddad A, Che Ab Aziz ZA. Bioceramic-based root canal sealers: a review. Int J Biomater 2016;2016:9753210
7. Dong X, Xu X. Bioceramics in endodontics: updates and future perspectives. Bioengineering (Basel) 2023;10:1-30.
8. Abdulrab S, Geerts G, Al-Maweri SA, Alhajj MN, Alhadainy H, Ba-Hattab R. The influence of horizontal glass fibre posts on fracture strength and fracture pattern of endodontically treated teeth: a systematic review and meta-analysis of in vitro studies. J Prosthodont 2023;32:469-481.

9. Alghauli MA, Alqutaibi AY, Al-Gabri RS, Baik AA, Mahrous AM, Bafail A, et al. Effectiveness of horizontal posts to support MOD cavities compared with other restorative approaches in endodontically treated teeth: systematic review with meta-analysis of laboratory studies. BMC Oral Health 2025;25:743.
10. Patel S, Bhuva B, Bose R. Present status and future directions: vertical root fractures in root filled teeth. Int Endod J 2022;55:804-826.
11. Goracci C, Ferrari M. Current perspectives on post systems: a literature review. Aust Dent J 2011;56:77-83.
12. Ferri MK, Luisi SB, Junior LH, Melara R, de Melo TA. Effect of horizontal position of fibre post placement on fracture resistance and location in endodontically treated premolars with a MOD preparation. G Ital Endod 2021;35:35-37.
13. Kim SG, Kim SS, Levine JL, Piracha YS, Solomon CS. A novel approach to fracture resistance using horizontal posts after endodontic therapy: a case report and review of literature. J Endod 2020;46:545-550.
14. Sharma S, Ramesh S, Rayapudi J. Biomechanical performance of mandibular molars with deep mesio-occlusal-distal cavities rehabilitated with horizontal posts: a 3D finite element analysis. Int J Dent 2023; 2023:3379373.
15. Selvaraj H, Krithikadatta J, Shrivastava D, Al Onazi MA, Algarni HA, Munaga S, et al. Systematic review fracture resistance of endodontically treated posterior teeth restored with fiber reinforced composites- a systematic review. BMC Oral Health. 2023;23(1):566.
16. Faria AC, Rodrigues RC, de Almeida Antunes RP, de Mattos Mda G, Ribeiro RF. Endodontically treated teeth: characteristics and considerations to restore them. J Prosthodont Res 2011;55:69-74.
17. Song W, Li S, Tang Q, Chen L, Yuan Z. In vitro biocompatibility and bioactivity of calcium silicate-based bioceramics in endodontics. Int J Mol Med 2021;48:128.
18. Li L, Xu J, Ye C, Zhou Y, Yan F, Chen Z, et al. Biomaterials-based strategy for dental-oral tissue regeneration: current clinical application, laboratory development, and future direction. Biomaterials 2026;326: 123714.
19. Elfaramawy MT, Abdelrahman TY. The effect of bioceramic sealers on the fracture resistance of endodontically treated teeth (in vitro study). Egypt Dent J 2021;67:857-860.
20. Seron MA, Nunes GP, Ferrisse TM, Strazzi-Sahyon HB, Dos Santos PH, Gomes-Filho JE, et al. Influence of bioceramic sealers on dentinal tubule penetration and antimicrobial effectiveness: a systematic review and meta-analysis of in vitro studies. Odontology 2024;112:672-699.

Details

Primary Language

English

Subjects

Endodontics

Journal Section

Case Report

Authors

Suresh Shenvi ^*
0000-0003-4466-774X
India

Priyankar Roy
0009-0002-9320-8064
India

Kavalipurapu Venkata Teja
0000-0000-0000-0000
India

Publication Date

September 30, 2026

Submission Date

June 12, 2026

Acceptance Date

September 7, 2026

Published in Issue

Year 2026 Volume: 29 Number: 3

DOI

https://doi.org/10.7126/cumudj.1969414

IZ

https://izlik.org/JA95SB86XP

Cite

RIS / Bibtex

APA

Shenvi, S., Roy, P., & Venkata Teja, K. (2026). Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report. Cumhuriyet Dental Journal, 29(3), 578-585. https://doi.org/10.7126/cumudj.1969414

AMA

1.Shenvi S, Roy P, Venkata Teja K. Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report. Cumhuriyet Dent J. 2026;29(3):578-585. doi:10.7126/cumudj.1969414

Chicago

Shenvi, Suresh, Priyankar Roy, and Kavalipurapu Venkata Teja. 2026. “Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report”. Cumhuriyet Dental Journal 29 (3): 578-85. https://doi.org/10.7126/cumudj.1969414.

EndNote

Shenvi S, Roy P, Venkata Teja K (September 1, 2026) Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report. Cumhuriyet Dental Journal 29 3 578–585.

IEEE

[1]S. Shenvi, P. Roy, and K. Venkata Teja, “Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report”, Cumhuriyet Dent J, vol. 29, no. 3, pp. 578–585, Sept. 2026, doi: 10.7126/cumudj.1969414.

ISNAD

Shenvi, Suresh - Roy, Priyankar - Venkata Teja, Kavalipurapu. “Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report”. Cumhuriyet Dental Journal 29/3 (September 1, 2026): 578-585. https://doi.org/10.7126/cumudj.1969414.

JAMA

1.Shenvi S, Roy P, Venkata Teja K. Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report. Cumhuriyet Dent J. 2026;29:578–585.

MLA

Shenvi, Suresh, et al. “Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report”. Cumhuriyet Dental Journal, vol. 29, no. 3, Sept. 2026, pp. 578-85, doi:10.7126/cumudj.1969414.

Vancouver

1.Suresh Shenvi, Priyankar Roy, Kavalipurapu Venkata Teja. Management of a Vertical Crown Root Fracture in an Anterior Tooth Using a Horizontal Post and Bioceramic Sealer: A Year Clinical Case Report. Cumhuriyet Dent J. 2026 Sep. 1;29(3):578-85. doi:10.7126/cumudj.1969414