Partial pulpotomy and tooth reconstruction of a crown-fractured permanent incisor: a case report.
Pulp exposure due to traumatic injuries in the anterior permanent teeth of adolescents is a common occurrence. A vital permanent maxillary incisor with complex crown fracture and pulp exposure was treated by partial pulpotomy and assessed clinically through pulpal sensitivity tests and radiographically for periapical healing. Partial pulpotomy consisted of pulp tissue removal to a depth of only 1 to 2 mm, then capping the pulpal wound with calcium hydroxide, lining with resin-modified glass-ionomer cement, and restoration with resin composite. At each recall (7, 15, 21, 50, 90, 150, and 250 days), no spontaneous pain was observed; the pulp showed signs of vitality and absence of periapical radiolucency after 90 days. For long-term success, partial pulpotomy is recommended as an option for cases of traumatic pulp exposure in permanent incisors with crown fractures.
Svizero
Nadia da Rocha
Nda R
Department of Operative Dentistry, Bauru Dental School, University of São Paulo, Bauru, SP, Brazil.
Bresciani
Eduardo
E
Francischone
Carlos Eduardo
CE
Franco
Eduardo Batista
EB
Pereira
José Carlos
JC
D000293:Adolescent; D003188:Composite Resins; D003785:Dental Pulp Capping; D003789:Dental Pulp Exposure / Q000209:etiology / Q000628:therapy*; D003793:Dental Restoration, Permanent / Q000379:methods*; D006801:Humans; D007180:Incisor / Q000293:injuries; D008297:Male; D008437:Maxilla; D011672:Pulpotomy / Q000379:methods*; D019228:Tooth Crown / Q000293:injuries; D014082:Tooth Fractures / Q000150:complications / Q000628:therapy*
D003188:Composite Resins