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A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure

A complicated crown fracture in a permanent incisor is one of the most difficult traumatic dental injuries to deal with. Treatment involves multiple visits and invasive intraoperative interventions and this is a very costly procedure. However, progress in vital pulp therapy and adhesive dentistry ma...

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Autores principales: El Kharroubi, Soukaina, Drouri, Sofia, Doumari, Bouchra, Laslami, Kaoutar, Jabri, Mouna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622000/
https://www.ncbi.nlm.nih.gov/pubmed/37927766
http://dx.doi.org/10.7759/cureus.46432
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author El Kharroubi, Soukaina
Drouri, Sofia
Doumari, Bouchra
Laslami, Kaoutar
Jabri, Mouna
author_facet El Kharroubi, Soukaina
Drouri, Sofia
Doumari, Bouchra
Laslami, Kaoutar
Jabri, Mouna
author_sort El Kharroubi, Soukaina
collection PubMed
description A complicated crown fracture in a permanent incisor is one of the most difficult traumatic dental injuries to deal with. Treatment involves multiple visits and invasive intraoperative interventions and this is a very costly procedure. However, progress in vital pulp therapy and adhesive dentistry may allow practitioners to treat these injuries with a conservative method. Correct diagnosis of the pulp is important as it forms the basis for the establishment of an appropriate management strategy. A partial pulpotomy is indicated if the patient has significant pulp exposure or if it is reported after a considerable delay. It has been reported that partial pulpotomies after complicated crown fractures have a 96% success rate. Other studies have reported that partial pulpotomy is a treatment of choice after a complicated traumatic crown fracture, with a very high success record. Traditionally, calcium hydroxide has been applied as a dressing agent. However, research has recently focused on other calcium silicate cements (CSC), such as Biodentine (BD). This study aimed to illustrate the successful management of a vital permanent incisor with complicated crown fractures, which were treated by partial pulpotomy using Biodentine material and evaluated for healing clinically and radiographically. No radiographic signs of failure or clinical symptoms were detected over a one-year period.
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spelling pubmed-106220002023-11-03 A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure El Kharroubi, Soukaina Drouri, Sofia Doumari, Bouchra Laslami, Kaoutar Jabri, Mouna Cureus Dentistry A complicated crown fracture in a permanent incisor is one of the most difficult traumatic dental injuries to deal with. Treatment involves multiple visits and invasive intraoperative interventions and this is a very costly procedure. However, progress in vital pulp therapy and adhesive dentistry may allow practitioners to treat these injuries with a conservative method. Correct diagnosis of the pulp is important as it forms the basis for the establishment of an appropriate management strategy. A partial pulpotomy is indicated if the patient has significant pulp exposure or if it is reported after a considerable delay. It has been reported that partial pulpotomies after complicated crown fractures have a 96% success rate. Other studies have reported that partial pulpotomy is a treatment of choice after a complicated traumatic crown fracture, with a very high success record. Traditionally, calcium hydroxide has been applied as a dressing agent. However, research has recently focused on other calcium silicate cements (CSC), such as Biodentine (BD). This study aimed to illustrate the successful management of a vital permanent incisor with complicated crown fractures, which were treated by partial pulpotomy using Biodentine material and evaluated for healing clinically and radiographically. No radiographic signs of failure or clinical symptoms were detected over a one-year period. Cureus 2023-10-03 /pmc/articles/PMC10622000/ /pubmed/37927766 http://dx.doi.org/10.7759/cureus.46432 Text en Copyright © 2023, El Kharroubi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Dentistry
El Kharroubi, Soukaina
Drouri, Sofia
Doumari, Bouchra
Laslami, Kaoutar
Jabri, Mouna
A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title_full A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title_fullStr A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title_full_unstemmed A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title_short A Partial Pulpotomy in Traumatized Permanent Incisors With Pulp Exposure
title_sort partial pulpotomy in traumatized permanent incisors with pulp exposure
topic Dentistry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10622000/
https://www.ncbi.nlm.nih.gov/pubmed/37927766
http://dx.doi.org/10.7759/cureus.46432
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