Dentin restoration
Deep caries management strategies have evolved. How to select the most suitable restorative material? Which factors should be considered? Explore the role of Biodentine® in…
19 minute read
Dr Paul Renner
Cracked teeth with pulp inflammation can be treated without devitalisation but only under the right conditions. Dr. Paul Renner explains why he considers Biodentine® the ideal core material for managing pulpitis in cracked teeth — combining bioactive properties with dentine-like strength.
Biodentine® is proving to be an ideal core material under indirect restorations where there is still sufficient tooth structure to provide resistance to lateral forces during use. In cases where VPT has been performed, it exhibits the bioactive properties of HCSCs but offers superior mechanical properties. Where a tooth shows symptoms of moderate pulpitis due to a crack, Biodentine® provides a very good seal to dentine, reducing the chance of leakage, and exerts a therapeutic effect on the pulp. Combined with zirconia crowns, Biodentine® with the Bio-Bulk Fill technique is my material of choice for strong, stable restorations in cracked teeth.
Interested in learning more about how to use Biodentine® for successful cracked tooth restorations? Read Chapter 2 and Chapter 3 for Dr Renner’s protocols on managing moderate and severe pulpitis in cracked teeth with Biodentine®.
Dr. Paul Renner has over 40 years of experience in general dentistry, including academic, general, and government practice.
Owner of a large private practice situated in Dalby (Australia), he has been employed as a part-time clinical supervisor at the University of Queensland for the last 15 years, supervising final year students.
Paul has been active in the Australian Dental Association Queensland, where he served as president for two terms and was awarded lifetime membership.
Since starting to treat symptomatic carious teeth using vital pulp therapy, it has become an increasingly important part of Paul’s practice. Due to the inability of many patients to afford root canal therapy and restoration with an indirect restoration, Paul has been able to save many teeth from extraction using this approach.
Apart from vital pulp therapy, his other areas of interest are the diagnosis and treatment of cracked teeth and dental photography.
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