Management and Followup of Complicated Crown Fractures in Young Patients Treated with Partial Pulpotomy

Ojeda-Gutiérrez, Francisco; Martinez-Marquez, Brenda; Arteaga-Larios, Soraya; Ruiz-Rodriguez, M Socorro; Pozos‐Guillén, Amaury

doi:10.1155/2013/597563

Cited by 11 publications

(9 citation statements)

References 26 publications

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“…23 Moreover, both in vitro and in vivo studies found that it does not have any inhibitory effects on the proliferation and differentiation of dental pulp stem cells. 21,[24][25][26] Limitations of dental materials used for pulp capping include treatment failure caused by bacteria entry though the fracture lines 27 and the effect of a humid environment, which can reduce their sealing ability. iRoot BP Plus is produced using bioceramic F I G U R E 3 An example of a successful case involving a 9-year-old boy with a complicated crown fracture in the left incisor.…”

Section: Discussionmentioning

confidence: 99%

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

Ying

Xia

et al. 2020

Dental Traumatology

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Background/Aim A new bioceramic material iRoot BP Plus has been introduced and reported to have good biocompatibility, sealing ability and antibacterial activity. It has also been reported to be successfully used for procedures such as pulpotomy, pulp floor perforation repair and so on. However, there are only a few reports on the use of iRoot BP Plus in the management of traumatized teeth with an exposed pulp. The aim of this study was to investigate the clinical and radiographic outcomes of partial pulpotomy with iRoot BP Plus in immature permanent teeth with complicated crown fracture or complicated crown‐root fracture. Material and Methods The study was prospectively designed, and 110 immature permanent teeth with complicated crown fracture or complicated crown‐root fracture were randomly allocated into two groups (n = 55). All teeth were clinically and radiographically assessed at 1, 3, 6, 12, 18 and 24 months after partial pulpotomy with iRoot BP Plus (experimental group, n = 50) or calcium hydroxide (control group, n = 49) as the pulp capping agent. Eleven cases were lost during follow up, and 99 teeth were finally analysed. Results There were no intergroup differences in the survival rate, survival time, root length and dentin wall thickness. The calcific bridge was significantly thinner in the iRoot BP Plus group than in the calcium hydroxide group (0.97 ± 0.13 mm vs 1.36 ± 0.12 mm; F = 5.128, P = .029). Conclusions iRoot BP Plus may be an effective capping material for partial pulpotomy.

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Section: Discussionmentioning

confidence: 99%

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

Ying

Xia

et al. 2020

Dental Traumatology

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“…After the advent of Ellis Classification, World Health Organisation (WHO) developed a classification in 1978, which is almost similar to Ellis Classification, but it avoids the use of eponyms and therapeutic considerations [4]. It was used only for descriptive purposes and used mostly by Health professionals of other fields [5].…”

Section: Introductionmentioning

confidence: 99%

Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey

Jose¹,

Ajitha²,

Subbaiyan³

2020

TODENTJ

247

116

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Introduction: Dental trauma is one of the most commonly seen injuries involving teeth and surrounding structures. The frequent causes of dental trauma are usually falls, traffic accidents, fights and sports injuries. Rapid treatment can prevent long-term damage to the orofacial structures and save the teeth. Ellis class 2 fracture is classified as the involvement of enamel and dentin excluding pulp. Dental practitioners are used to treating Ellis class 2 fracture very often in their dental practice and is usually considered as a dilemma among dental practitioners for the different treatment modalities followed for treatment of Ellis class 2 fracture. A survey is done among dental practitioners to assess the different treatment modalities followed by them in the case of Ellis class 2 fracture. Materials and Methods: A survey was done among 380 dental practitioners in the Chennai region in which 360 dental practitioners responded. The survey was distributed through electronic media and other means of communication. The survey data was collected, analysed and interpreted. Results: The results suggested that about 90% of dental practitioners had adequate knowledge and attitude towards the management of dental traumatic injuries. However, the practical application of the different treatment modalities was seen to be varied among dental practitioners. Based on this survey it was clear that majority of the dental practitioners in Chennai have good knowledge, attitude but there was a lack of clinical practice regarding the different treatment modalities followed by general practitioners for Ellis class 2 fracture. Conclusion: The survey shows that dental practitioners have a sound knowledge, attitude, but the practical application of the various treatment modalities available was seen to vary among various dental practitioners for Ellis class 2 fracture.

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“…8,9 Her iki olguda da geri dönüşümsüz pulpa iltihabını işaret edecek şekilde ağrının bulunması, pulpal ekspozürün 1 mm'nin üzerinde olması ve travmatik yaralanmaların üzerinden uzun süre geçmesi nedeni ile kök-kanal tedavisi uygulanmasına karar verilmiştir. Kök-kanal sistemindeki mikroorganizmaların elimine edilmesi için mekanik preparasyonun yanında irrigasyon solüsyonlarının kullanılması, ardından kalsiyum hidroksit içeren medikamentlerin kullanımı tavsiye edilmektedir.…”

Section: Discussionunclassified

An Essential Treatment Option in Complicated Crown Fractures: Case Report

Mutluay¹,

Mutluay²

2015

Turkiye Klinikleri J Dental Sci Cases

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152 ravmatik dental yaralanmalar, sportif aktivitelerle uğraşan genç bireylerde sıklıkla görülmektedir. Literatürde, tüm dental yaralanmaların %13-39'unun, maksillofasiyal yaralanmaların ise %2-18'inin sporla ilişkili olduğu rapor edilmiştir.1 En çok travmaya uğrayan dişler ön kesici dişlerdir ve dental yaralanma erkeklerde, kadınlara göre iki kat fazla görülmektedir. Bireylerde, çene-yüz bölgesine gelen travmalar sonucunda; Komplike Kron Kırıklarında Temel Tedavi Seçeneği Ö ÖZ ZE ET T Travma nedeni iyle oluşan komplike kron kırıklarının tedavisinde, kanal tedavisinden sonra adezif sistemlerle birlikte kompozit rezin restorasyonların kullanımı yaygınlaşmaktadır. Başarılı bir kanal tedavisi ve kompozit restorasyon için pulpanın, kalan diş dokusunun ve çevre dokuların patolojik durumlarının dikkatlice değerlendirilmesi gerekmektedir. Kompozit restorasyonlar genç bireylerde, veneer ya da diğer protetik restorasyonlara göre konservatif çözümler sağlamaktadır. Kron kırığı olan daimi kesicilerin kompozit restorasyonları basit işlemlerdir, ancak fonksiyon ve estetiğin sağlanmasını kolaylaştıracak diş kontürlerine dikkat edilmelidir. Bu çalışmanın amacı, komplike kron kırığı bulunan iki klinik olgunun endodontik ve restoratif tedavi prosedürlerini rapor etmektir. Olgular, travma nedeni ile pulpal ekspozür içeren mine-dentin kırıklarının tedavilerini içermektedir. Olguların 12. ay kontrollerinde kompozit restorasyonların iyi estetik sonuçlar sergilediği, ilgili dişlerde herhangi bir klinik bulgu ya da semptomun oluşmadığı gözlenmiştir. Oral hijyen motivasyonu ile birlikte uzun dönem hasta takibi tatmin edici sonuçlar sağlamaktadır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Diş kırıkları; kök kanal tedavisi; yapıştırıcılar; bileşik rezinler A AB BS S T TR RA AC CT T After root treatments, the use of adhesive systems and composite resin restorations are widespread in the treatment of crown fractures due to trauma. Composite restorations in young individuals allow the clinicians to restore natural tooth structures with conservative methods by comparison to other veneers or prosthetic restorations. Pathological status of the pulp, remaining dental tissues and surrounding tissues should be considered carefully for a successful root treatment and composite restorations. The composite resin restoration of permanent incisors with crown fractures is a simple procedure but should be planned with attention to dental contours, facilitating the re-establishment of function and aesthetics. The aim of this paper is to present two clinical case of complicated crown fracture treated by endodontic and restorative procedures. The cases involved treatments of enamel-dentine fractures with pulp exposures due to trauma. At 12-months followup, the composite restorations showed good esthetics and the teeth had no clinical signs or symptoms. Long term patient motivation with oral hygiene procedures have produced satisfactory results.

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Management and Followup of Complicated Crown Fractures in Young Patients Treated with Partial Pulpotomy

Cited by 11 publications

References 26 publications

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

The effect of partial pulpotomy with iRoot BP Plus in traumatized immature permanent teeth: A randomized prospective controlled trial

Different Treatment Modalities followed by Dental Practitioners for Ellis Class 2 Fracture – A Questionnaire-based Survey

An Essential Treatment Option in Complicated Crown Fractures: Case Report

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