Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis: A Case Report

Çalışkan, Mehmet Kemal; Savranoğlu, Senem

doi:10.1016/j.joen.2010.03.036

Cited by 4 publications

(2 citation statements)

References 27 publications

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“…McIntyre et al quoted Cvek's conclusion from 1978 that the time from injury to treatment was not important ‘up to 30 h’. A successful Cvek pulpotomy was reported in a 16‐year‐old female treated 4 years after trauma, but this case is unique and should not lead to any general conclusion . Jones et al stated that even in cases of small pulp exposures, if the patient seeks treatment several hours or days after the trauma, the treatment of choice should be a Cvek pulpotomy as long as the coronal pulp inflammation is not widespread and deeper access is not required for restorative purposes.…”

Section: Time Factormentioning

confidence: 93%

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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