Crown Fractures: A Practical Approach for the Clinician

Fuks, Anna B.; Camp, Joe H.

doi:10.1016/b978-0-323-04039-6.50009-3

Cited by 4 publications

(4 citation statements)

References 79 publications

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“…However, following trauma, not all pulps will survive. The choice of treatment is based on a combination of many factors including the diagnosis, the stage of root development, the size of pulp exposure, and the time interval between the injury and the emergency treatment 16 . Conservative treatments such as indirect pulp capping and pulpotomy are usually adopted as an attempt to preserve pulp tissue but there is a risk of pulp necrosis.…”

Section: Discussionmentioning

confidence: 99%

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Radiographic evaluation of immature traumatized incisors following different endodontic treatments

et al. 2020

Dental Traumatology

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Background/Aims Indirect pulp capping, pulpotomy, and apexification are three common endodontic treatments for immature traumatized incisors. They all affect tooth root development to some extent. The aim of this retrospective study was to compare the influence of these treatments on root development of immature permanent incisors following dental trauma. Materials and Methods Twenty‐one indirect pulp capping, 48 pulpotomy, and 58 apexification cases with a mean age of 8.4 ± 1.0 years and median follow up of 12 months were included. NIH ImageJ with TurboReg plug‐in was used to correct angular differences between the pre‐operative and recall periapical radiographs, and to calculate variations of root length, dentin wall thickness, and apical closure. Kruskal‐Wallis ANOVA followed by pairwise comparisons was applied to compare the radiographic variations. The type of apical closure was assessed qualitatively and analyzed using Fisher's exact test. Results The apexification group had a lower trend toward apical closure than the other two groups (P < .05). It also showed thinner dentin wall thickness compared with the pulpotomy group (P = .001). There was no significant difference between pulpotomy and indirect pulp capping in the trend to apical closure (P > .05) or dentin wall thickness (P = .775). There was no significant difference in the variation of root length among the three groups (P = .06). There was a moderate correlation between the treatment and the type of apical closure (Cramer's V Coefficient = .375). Pulpotomy tended to form a normal apical constriction rather than a calcific barrier while apexification showed the opposite inclination. Indirect pulp capping had no specific inclination toward any type of apical closure. Conclusions Apexification resulted in an abnormal root development mostly by affecting the dentin wall thickness and apical closure. Pulpotomy was beneficial for normal root development of immature traumatized teeth.

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Section: Discussionmentioning

confidence: 99%

“…Inclusion and exclusion processes as well as the grouped results the emergency treatment. 16 Conservative treatments such as indirect pulp capping and pulpotomy are usually adopted as an attempt to preserve pulp tissue but there is a risk of pulp necrosis. If the pulp does necrose, then apexification will be required.…”

Section: Discussionmentioning

confidence: 99%

Radiographic evaluation of immature traumatized incisors following different endodontic treatments

et al. 2020

Dental Traumatology

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“…Vital pulp therapy includes direct pulp capping, partial pulpotomy and full pulpotomy. When a patient reports with small pulp exposure (1 mm) within 24 h of injury, pulp capping may be the advocated treatment (2). A partial or coronal pulpotomy is recommended if the patient presents with large pulp exposure or reports after considerable delay.…”

Section: Introductionmentioning

confidence: 99%

“…A partial or coronal pulpotomy is recommended if the patient presents with large pulp exposure or reports after considerable delay. Pulpotomy involves removing the inflamed coronal pulp followed by placing a dressing material over the remaining pulp tissue (2). Conventionally, calcium hydroxide has been utilised as a dressing agent.…”

Section: Introductionmentioning

confidence: 99%

Minimal intervention treatment of crown‐root fracture in a mature permanent tooth by MTA pulpotomy and Fragment Reattachment: A Case Report

Fatima¹,

Alam²,

Kumar³

et al. 2020

Aust Endodontic J

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Treatment of crown–root fracture can be complicated, time‐consuming and expensive. This paper presents a treatment approach that minimises intra‐operatory intervention and preserves the biologic tissue. A 15‐year‐old boy reported for treatment of an oblique crown fracture in the left permanent maxillary central incisor (#21, Fédération Dentaire Internationale) with mature root apices. The treatment presented an endodontic, periodontal and restorative challenge as the crown fracture exposed the pulp and extended subgingivally. The patient also had accompanying generalised enamel hypoplasia due to dental fluorosis (grade 3 Deans Fluorosis index), making the aesthetic rehabilitation difficult. The case was managed by preserving the vital pulp by MTA pulpotomy, followed by the adhesive bonding of autogenous crown fragment. A three‐year follow‐up revealed healthy vital pulp tissue and retained bonded fragment with acceptable aesthetics and periodontal health.

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Analysis and Interpretation of Trauma in Skeletal Remains

Lovell¹,

Grauer²

2018

Biological Anthropology of the Human Skeleton

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Crown Fractures: A Practical Approach for the Clinician

Cited by 4 publications

References 79 publications

Radiographic evaluation of immature traumatized incisors following different endodontic treatments

Radiographic evaluation of immature traumatized incisors following different endodontic treatments

Minimal intervention treatment of crown‐root fracture in a mature permanent tooth by MTA pulpotomy and Fragment Reattachment: A Case Report

Analysis and Interpretation of Trauma in Skeletal Remains

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