Management of a Cracked Tooth with Supracrestal Cervical Resorption

Cracked teeth associated with cervical resorption present significant restorative and endodontic challenges. In this case, initial assessment focused on tooth restorability, the level of cervical resorption (supracrestal vs. subcrestal), and the extension of the crack to rule out vertical root fracture. The resorption was supracrestal, and the crack did not extend through the root, allowing for a conservative management plan. Isolation was achieved using split-dam with prewedging to expose the cervical margin. Caries and resorptive tissue were carefully removed, and a pre-endo build-up was performed to re-establish coronal integrity. Access preparation revealed narrow canals with possible pulp stones. The color change phenomenonwas used to identify canal orifices, and troughing with ultrasonics allowed detection of a narrow and recessed MB2 canal…