A retrospective study of treatment provided in the primary and secondary care services for children attending a dental hospital following complicated crown fracture in the permanent dentition

Maguire, Anne; Murray, J. J.; Al-Majed, Ibrahim M

doi:10.1046/j.1365-263x.2000.00190.x

Cited by 40 publications

(42 citation statements)

References 13 publications

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“…A review of the literature revealed that while there is agreement that early treatment (within 24 h) is crucial for the success of a cervical pulpotomy , there is no consistency in the opinions regarding the effect of treatment delay of Cvek pulpotomies. Some authors have suggested that the time elapsing from the fracture to pulpotomy, followed by coronal restoration of the exposed pulp and dentinal tubuli, was important to minimize the possibility of microbial pulp invasion, thus ensuring pulp and periodontal healing . Others have suggested that the time between injury and treatment has limited influence on the long‐term outcome of partial pulpotomy, and therefore, the treatment of an exposed pulp due to trauma in a permanent tooth does not need not take place on the same day as the injury ().…”

Section: Time Factormentioning

confidence: 99%

Cvek pulpotomy – revisited

Bimstein

Rotstein

2016

Dental Traumatology

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Background/Aim While some studies support the notion that the time elapsed from coronal fracture and treatment with Cvek pulpotomy in permanent teeth plays an important role in minimizing the possibility of pain and discomfort, microbial pulp invasion, and ensuring pulp and periodontal healing, others consider that neither time between the accident and treatment nor size of exposure is critical if the inflamed superficial pulp tissue is amputated to the level of a healthy pulp. This study compares published data in an attempt to assess whether the outcome of Cvek pulpotomies is affected by these factors. Results and conclusions Evidence in the literature suggests to treat a permanent tooth with a complicated crown fracture as soon as possible to diminish the possibility of pain and prevent necrosis and infection of the pulp. Delay of treatment by 9 days or less may have minimal effect on the outcome of Cvek pulpotomies. While the literature indicates that pulp exposures of 4 mm or less may have a good prognosis after a Cvek pulpotomy, the prognosis in teeth with pulp exposures of more than 4 mm has not yet been clarified. Although the literature is not conclusive regarding a difference in the outcomes of Cvek pulpotomies in teeth with open or closed apices, it appears that teeth with open apices have a better prognosis. The outcome of a Cvek pulpotomy may be compromised by a luxation injury that diminishes the tooth's blood supply and innervation. A good restoration that prevents bacterial penetration into the tooth is essential for the success of a Cvek pulpotomy.

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Section: Time Factormentioning

confidence: 99%

Cvek pulpotomy – revisited

Bimstein

Rotstein

2016

Dental Traumatology

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“…This fi nding would appear to be corroborated by a number of previous studies which all have highlighted the lack of confi dence and competence in trauma management among UK dentists. [20][21][22] Indeed these previous papers have all called for an increase in trauma-related teaching within undergraduate and postgraduate dental curricula. The implications of poor trauma management are considerable with far-reaching economic, psychosocial and oral health consequences for the patient.…”

Section: Confi Dence In Relation To Trauma Managementmentioning

confidence: 99%

Undergraduate experience and self-assessed confidence in paediatric dentistry: comparison of three UK dental schools

Rodd¹,

Farman²,

Albadri

et al. 2010

Br Dent J

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“…The majority of dental trauma cases seen in secondary care present initially in general dental practice 1 and mainly occur in children. It is therefore imperative that general dental practitioners (GDPs) have a sound working knowledge of managing dental trauma; especially the initial treatment.…”

Section: Introductionmentioning

confidence: 99%

Management of dental trauma in primary care: a postal survey of general dental practitioners

Jackson¹,

Waterhouse

Maguire

2005

Br Dent J

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A retrospective study of treatment provided in the primary and secondary care services for children attending a dental hospital following complicated crown fracture in the permanent dentition

Abstract: Emergency treatment of complicated crown fractures, particularly in primary care services is often inappropriate or inadequate with regard to emergency management of the exposed pulp and provision of a hermetic coronal seal.

Cited by 40 publications

References 13 publications

Cvek pulpotomy – revisited

Cvek pulpotomy – revisited

Undergraduate experience and self-assessed confidence in paediatric dentistry: comparison of three UK dental schools

Management of dental trauma in primary care: a postal survey of general dental practitioners

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