A retrospective evaluation of crown-fractured permanent teeth treated in a pediatric dentistry clinic.
A retrospective study was carried out on the dental trauma records of 93 patients (55 boys, 38 girls) with 129 crown-fractured teeth. The patients' average age was 9.57 years (SD 1.57), ranging between 7 and 15 years. Uncomplicated crown facture (comprising enamel-dentin) was the most observed type of injury (n = 107, 83%). Only 15 patients (16.13%) sought treatment in less than 24 h following the injury. Of 41 injured teeth (31.79%) the apices were open at the time of presentation at the clinic. The initial treatment of these injured teeth were interim restoration with acid-etch and composite (69%), Cvek amputation (2.33%), fragment reattachment (1.55%), apexification (APX, 10.07%), and root-canal treatment (RCT, 17.05%). Out of 94 teeth, which were diagnosed as vital on admittance, 23 (24.46%) later developed pulp necrosis and required APX or RCT depending on their apical status. In 66 teeth (51.16%) definitive treatment was provided with only esthetic restoration (ER), while in 15.50% and 26.68% of injured teeth ER was carried out following APX and RCT, and RCT, respectively. Definitive treatment was provided in 3-6 months for 29.45% of the injured teeth, while 27.13% and 20.16% of teeth received definitive treatment within 1-3 months and 6 months to 1 year, respectively. Type of crown-fracture, elapsed time following injury, and vitality of the tooth on admittance and pulp necrosis observed were significantly related to the total time spent for definitive treatment (P < 0.05).
Cem Güngör
Hamdi
H
Department of Pedodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey. hgungor@hacettepe.edu.tr
Uysal
Serdar
S
Altay
Nil
N
D000293:Adolescent; D002648:Child; D003740:Dental Clinics; D003793:Dental Restoration, Permanent; D003794:Dental Restoration, Temporary; D019229:Dentition, Permanent; D005260:Female; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012390:Root Canal Therapy; D013997:Time Factors; D019228:Tooth Crown / Q000293:injuries*; D014082:Tooth Fractures / Q000628:therapy*