* denotes required field

Your Name: *



Gender: *

Personal Email: *

This will be your username

Password: *

Display Name: *

This will be what others see in social areas of the site.

Address: *










Phone Number:

School/University: *

Graduation Date: *

Date of Birth: *

ASDA Membership No:





Hi returning User! please login with Facebook credentials where Facebook Username is same as THENEXTDDS Username.




Case Study
Comments (0)

Aesthetic Correction of a Root Fracture Using an Implant-Supported Zirconia Restoration

Learning Objectives:

Upon reviewing this case study, the reader should:

  • Be able to visualize the process of utilizing implant-supported restorations to correct root fractures
  • See how new materials and techniques have increased dentists' ability to create more aesthetically pleasing results for patients


The use of implant-supported restorations has demonstrated significant success over the past two decades. As techniques and methods for implant placement continue to evolve, so too do the materials utilized for aesthetic implant rehabilitation. Discolored margins and opaque crowns can be easily avoided using durable all-ceramic options that provide optimal biocompatibility and aesthetics, while ensuring optimal function and load resistance.

While materials and techniques may have evolved over the years, patient considerations remain constant. The clinician is consistently challenged to maintain soft tissue contours and develop a scalloped appearance throughout the provisionalization phase to ensure acceptable fit and integration. Implant restorations placed adjacent to natural teeth must in no way vary from the natural teeth or surrounding restorations to ensure continuous harmony.

A 38-year-old female patient presented with a fractured root in the right central incisor and preexisting crown restorations that required replacement. As a result of the root fracture there was some loss of buccal bone. The existing crown had been in place for ten years and demonstrated compromised aesthetics. In order to maintain natural-looking translucency in the anterior region, an implant system with a reactive surface was used with an all-ceramic, zirconia abutment was selected to provide optimal aesthetics and strength. An immediate provisionalization protocol was utilized to ensure optimal tissue maintenance and to develop an aesthetic emergence profile.

*Private practice, Cork, Ireland.

Related Reading:

  1. Krastl G, Gugger J, Deyhle H, Zitzmann NU, Weiger R, Müller B. Impact of adhesive surface and volume of luting resin on fracture resistance of root filled teeth. Int Endod J. 2011 Jan 24. doi: 10.1111/j.1365-2591.2010.01846.x.
  2. Schiavetti R, García-Godoy F, Toledano M, Mazzitelli C, Barlattani A, Ferrari M, Osorio R. Comparison of fracture resistance of bonded glass fiber posts at different lengths. Am J Dent. 2010 Aug;23(4):227-30.
  3. Özer SY, Ünlü G, Değer Y. Diagnosis and treatment of endodontically treated teeth with vertical root fracture: three case reports with two-year follow-up. J Endod. 2011 Jan;37(1):97-102. Epub 2010 Nov 12.
  4. Matsuda KI, Ikebe K, Enoki K, Tada S, Fujiwara K, Maeda Y. Incidence and association of root fractures after prosthetic treatment. J Prosthodont Res. 2010 Dec 4.
  5. Larsson C, Vult von Steyern P. Five-year follow-up of implant-supported Y-TZP and ZTA fixed dental prostheses. A randomized, prospective clinical trial comparing two different material systems. Int J Prosthodont. 2010 Nov-Dec;23(6):555-61.
  6. Zarone F, Russo S, Sorrentino R. From porcelain-fused-to-metal to zirconia: clinical and experimental considerations. Dent Mater. 2011 Jan;27(1):83-96. Epub 2010 Nov 21.
  7. Guess PC, Att W, Strub JR. Zirconia in Fixed Implant Prosthodontics. Clin Implant Dent Relat Res. 2010 Dec 22. doi: 10.1111/j.1708-8208.2010.00317.x.
  8. Giordano R, Sabrosa CE. Zirconia: material background and clinical application. Compend Contin Educ Dent. 2010 Nov-Dec;31(9):710-5.
  9. Hajtó J, Gehringer U, Ozcan M. A multi-faceted treatment approach for anterior reconstructions using current ceramics, implants, and adhesive systems. Eur J Esthet Dent. 2010 Autumn;5(3):242-59.
Have a case study of your own? Submit it to us!
Sorry, your current access level does not permit you to view this page.