# A Biomimetic Adhesive Approach for Restoring a Cracked Tooth in a Single Visit: A Case Report

**Authors:** Zhenxiang Lin, Minrui Xu, Ruizhen Chen, Jie Lin

PMC · DOI: 10.1155/crid/5525524 · Case Reports in Dentistry · 2026-02-27

## TL;DR

This case report describes a minimally invasive method to restore a cracked tooth in one visit, preserving natural tooth structure and achieving good clinical results.

## Contribution

The study introduces a morphology-driven preparation technique for biomimetic restoration of cracked teeth with minimal invasiveness.

## Key findings

- The MDPT approach resolved pain and restored function while preserving maximum dentin structure.
- Minimal preparation and immediate dentin sealing reduced microleakage risk and improved stability.
- The technique provided excellent esthetic integration and potential for long-term restoration success.

## Abstract

This report evaluates the morphology‐driven preparation technique (MDPT) for biomimetic restoration of a cracked maxillary first molar, focusing on its tooth‐preserving benefits and clinical outcomes.

A 36‐year‐old male presented with 2 months of masticatory pain and recent spontaneous pain in the upper right posterior region (Tooth 16). Examination revealed occlusal cracks, confirmed as cracked tooth syndrome radiographically. Treatment included microscopic root canal therapy (biomechanical preparation, irrigation, and hybrid obturation) followed by MDPT‐based restoration. The minimally invasive approach preserved natural morphology using digital impressions (3Shape TRIOS 5) and placed a lithium disilicate veneer with dual‐cure resin cement under optimized bonding protocols.

MDPT achieved a complete pain resolution and functional restoration while preserving maximum dentin structure. Minimal preparation and immediate dentin sealing enhanced stability and reduced microleakage risk, with excellent esthetic integration.

MDPT represents an effective biomimetic solution for cracked teeth, combining minimal invasiveness with optimal clinical outcomes. The technique demonstrates significant advantages in tooth structure preservation and restoration longevity. Comparative studies are needed to further validate its clinical benefits.

## Full-text entities

- **Diseases:** fracture (MESH:D050723), masticatory pain (MESH:D010146), trauma (MESH:D014947), gingival inflammation (MESH:D007249), liver disease (MESH:D008107), diabetes (MESH:D003920), systemic diseases (MESH:D034721), Cracked (MESH:D003387), leukemia (MESH:D007938), hypertension (MESH:D006973), malocclusion (MESH:D008310), bruxism (MESH:D002012), MDPT (MESH:C566911), allergies (MESH:D004342), pulpitis (MESH:D011671), infectious diseases (MESH:D003141)
- **Chemicals:** nickel-titanium (MESH:C013616), AH Plus (MESH:C534916), epinephrine (MESH:D004837), EDTA (MESH:D004492), RelyX (MESH:C528569), latex (MESH:D007840), methylene blue (MESH:D008751), articaine (MESH:D002355), silane (MESH:D012821), water (MESH:D014867), silicone (MESH:D012828), MDPT (-), epoxy (MESH:D004853), NaOCl (MESH:D012973), hydrofluoric acid (MESH:D006858), phosphoric acid (MESH:C030242), zirconia (MESH:C028541)
- **Species:** Homo sapiens (human, species) [taxon 9606]
- **Cell lines:** RL2024 — Homo sapiens (Human), Xeroderma pigmentosum, complementation group C, Finite cell line (CVCL_M279)

## Full text

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## Figures

20 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12948722/full.md

## References

34 references — full list in the complete paper: https://tomesphere.com/paper/PMC12948722/full.md

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Source: https://tomesphere.com/paper/PMC12948722