Systematic Reviews and Meta Analysis
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VITAL TREATMENT APPROACHES IN YOUNG PERMANENT TEETH WITH COMPLICATED CROWN FRACTURED: CASE SERIES

Year 2023, Volume: 5 Issue: 2 - Dental and Medical Journal - Review, 31 - 37, 30.06.2023

Abstract

ABSTRACT:
PURPOSE-SUBJECT: Crown fractures involving enamel, dentin and pulp tissue are called complicated crown fractures. Especially in anterior region injuries, it is extremely important to bond the broken part or to make an ideal restoration to prevent loss of aesthetics and function. In such injuries, it is primarily aimed to protect the vitality of the tooth while determining the treatment option, especially for teeth with incomplete root development.
METHOD: Two children were admitted to our clinic with a tooth fracture.In these cases, partial pulpatomy treatment approach was followed in order to restore the functional and aesthetic loss caused by trauma and to protect the vitality of the teeth.
RESULTS: It was observed that vitality was preserved and root development continued in the teeth of the patients whose regular check-ups were continuing.
CONCLUSION: Partial amputation is recommended as an early treatment option in complicated crown fractures. With the correct treatment method performed on time, both the vitality of the teeth has been maintained and aesthetics and function have been restored.

References

  • Sonmez IS, Sonmez H. Long-term follow-up of a complicated crown fracture treated by partial pulpotomy. Int Endod J. 2007; 40: 398-403.
  • 2. Mc Donald RE, Avery DR. Management of trauma to the teeth and supporting tissues: Mc Donald RE, Avery DR, eds. Dentistry for the child and adolescent.7th ed. St Lou- is Mosby; 2000; 485-542.
  • 3. McTigue DJ. Managing traumatic injuries in the young permanent dentition: Pinkham JR, Casamassimo PS, Fields HW, McTigue DJ, Nowak AJ, eds. Pediatric Dentistry: Infancy Through Adolescence. 4th ed. St. Louis: Elsevier Saunders; 2005, 593-608.
  • 4. Welbury RR, Whitworth JM. Traumatic injuries to the teeth: Welbury RR, Duggal MS, Hosey MT, eds. Paediatric Dentistry. 3rd ed. New York: Oxford University Press Inc; 2005, 257-295.
  • 5. Svizero Nda R, Bresciani E, Francischone CE, Franco EB, Pereira JC. Partial pulpotomy and tooth reconstruction of a crown-fractured permanent incisor: a case report Quintessence Int. 2003; 34: 740-7.
  • 6. Fuks AB, Gavra S, Chosack A. Long-term follow-up of traumatized incisors treated by partial pulpotomy. Pedi- atr Dent. 1993; 15: 334-6.
  • 7. Mumford JM, Jedynakiewicz. Pulpotomy. In: Mumford JM, Jedynakiewicz, eds. Principles of Endodontics. Chicago: Quintessence Publishing Co Ltd; 1988, 57-61.
  • 8. Demarco FF, de Moura FR, Tarquinio SB, Lima FG. Reattachment using a fragment from an extracted tooth to treat the complicated coronal fracture. Dent Traumatol. 2008; 24: 257-61.
  • 9. Reis A, Loguercio Ad., Kraul A, Matson E. Reattachment of fractured teeth: a review of the literature regarding techniques and materials. Oper Dent. 2004; 29: 226-33.
  • 10. Baratieri LN, Ritter Av, Monterio Junior S, de Mello Filho JC. Tooth fragment reattachment: an alternative for res- restorations of fractured anterior teeth. Pract Periodontics Aesthet Dent. 1998; 10: 115-25.
  • 11. Cvek M. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod. 1978; 4: 232-7.

Komplike Kron Kırığı Görülen Genç Daimi Dişlerde Vital Tedavi Yaklaşımları: Olgu Serisi

Year 2023, Volume: 5 Issue: 2 - Dental and Medical Journal - Review, 31 - 37, 30.06.2023

Abstract

ÖZET
AMAÇ-KONU: Mine, dentin ve pulpa dokusunu içeren kron kırıkları, komplike kron kırığı olarak adlandırılır. Özellikle ön bölge yaralanmalarında estetik ve fonksiyon kaybını önlemek için kırık parçanın yapıştırılması veya ideal bir restorasyon yapılması son derece önemlidir. Bu tür yaralanmalarda, özellikle kök gelişimi tamamlanmamış dişlerde tedavi seçeneği belirlenirken dişin vitalitesinin korunması öncelikli olarak amaçlanmaktadır.
YÖNTEM: İki çocuk hasta kliniğimize diş kırığı sebebi ile başvurdu. Bu olgularda travma sonucu meydana gelen fonksiyon ve estetik kaybın geri kazandırılabilmesi ve dişlerin vitalitelerinin korunması adına parsiyel pulpatomi tedavi yaklaşımı izlenmiştir.
BULGULAR: Düzenli kontrolleri devam eden hastaların travma geçiren dişlerinde dişlerin canlılığının korunduğu ve kök gelişimlerinin devam ettiği izlendi.
SONUÇ: Komplike kron kırıklarında erken dönem tedavi seçeneği olarak parsiyel amputasyon önerilmektedir. Zamanında yapılan doğru tedavi yöntemi ile hem dişlerin canlılığı devam etmiş hem de estetik ve fonksiyon geri kazandırılmıştır.

References

  • Sonmez IS, Sonmez H. Long-term follow-up of a complicated crown fracture treated by partial pulpotomy. Int Endod J. 2007; 40: 398-403.
  • 2. Mc Donald RE, Avery DR. Management of trauma to the teeth and supporting tissues: Mc Donald RE, Avery DR, eds. Dentistry for the child and adolescent.7th ed. St Lou- is Mosby; 2000; 485-542.
  • 3. McTigue DJ. Managing traumatic injuries in the young permanent dentition: Pinkham JR, Casamassimo PS, Fields HW, McTigue DJ, Nowak AJ, eds. Pediatric Dentistry: Infancy Through Adolescence. 4th ed. St. Louis: Elsevier Saunders; 2005, 593-608.
  • 4. Welbury RR, Whitworth JM. Traumatic injuries to the teeth: Welbury RR, Duggal MS, Hosey MT, eds. Paediatric Dentistry. 3rd ed. New York: Oxford University Press Inc; 2005, 257-295.
  • 5. Svizero Nda R, Bresciani E, Francischone CE, Franco EB, Pereira JC. Partial pulpotomy and tooth reconstruction of a crown-fractured permanent incisor: a case report Quintessence Int. 2003; 34: 740-7.
  • 6. Fuks AB, Gavra S, Chosack A. Long-term follow-up of traumatized incisors treated by partial pulpotomy. Pedi- atr Dent. 1993; 15: 334-6.
  • 7. Mumford JM, Jedynakiewicz. Pulpotomy. In: Mumford JM, Jedynakiewicz, eds. Principles of Endodontics. Chicago: Quintessence Publishing Co Ltd; 1988, 57-61.
  • 8. Demarco FF, de Moura FR, Tarquinio SB, Lima FG. Reattachment using a fragment from an extracted tooth to treat the complicated coronal fracture. Dent Traumatol. 2008; 24: 257-61.
  • 9. Reis A, Loguercio Ad., Kraul A, Matson E. Reattachment of fractured teeth: a review of the literature regarding techniques and materials. Oper Dent. 2004; 29: 226-33.
  • 10. Baratieri LN, Ritter Av, Monterio Junior S, de Mello Filho JC. Tooth fragment reattachment: an alternative for res- restorations of fractured anterior teeth. Pract Periodontics Aesthet Dent. 1998; 10: 115-25.
  • 11. Cvek M. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod. 1978; 4: 232-7.
There are 11 citations in total.

Details

Primary Language English
Subjects Dentistry
Journal Section Pediatric Dentistry
Authors

Behiye Bolgül 0000-0003-3833-3444

Oyku Peker 0000-0002-3698-6225

Rukiye Arıkan 0000-0001-7445-0459

Publication Date June 30, 2023
Submission Date December 28, 2022
Published in Issue Year 2023 Volume: 5 Issue: 2 - Dental and Medical Journal - Review

Cite

Vancouver Bolgül B, Peker O, Arıkan R. VITAL TREATMENT APPROACHES IN YOUNG PERMANENT TEETH WITH COMPLICATED CROWN FRACTURED: CASE SERIES. Dent & Med J - R. 2023;5(2):31-7.




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