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Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption

Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report...

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Autores principales: de Oliveira, Gabriela Cristina, da Silva, Juliana Calistro, Ionta, Franciny Querobim, de Alencar, Catarina Ribeiro Barros, Gonçalves, Priscilla Santana Pinto, de Oliveira, Thaís Marchini, Cruvinel, Thiago, Rios, Daniela
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390550/
https://www.ncbi.nlm.nih.gov/pubmed/28465844
http://dx.doi.org/10.1155/2017/3157453
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author de Oliveira, Gabriela Cristina
da Silva, Juliana Calistro
Ionta, Franciny Querobim
de Alencar, Catarina Ribeiro Barros
Gonçalves, Priscilla Santana Pinto
de Oliveira, Thaís Marchini
Cruvinel, Thiago
Rios, Daniela
author_facet de Oliveira, Gabriela Cristina
da Silva, Juliana Calistro
Ionta, Franciny Querobim
de Alencar, Catarina Ribeiro Barros
Gonçalves, Priscilla Santana Pinto
de Oliveira, Thaís Marchini
Cruvinel, Thiago
Rios, Daniela
author_sort de Oliveira, Gabriela Cristina
collection PubMed
description Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report presents the case of a 4-year-old boy with complicated crown fracture with pulp polyp in the primary right maxillary central incisor (51) and crown-root fracture with pulp involvement in the primary left maxillary central incisor (61), which was treated only 3 months after the tooth injuries. The treatment of choice was extraction of tooth (61) due to a periapical lesion with disruption of the dental follicle of the permanent successor and pulpotomy (MTA) of the tooth (51), because the pulp presented signs of vitality. At the follow-up visits, no clinical, symptomalogical, and radiographic changes were observed until the primary tooth's exfoliation. However, at 3-year follow-up, the permanent successors showed hypocalcification and the position of the permanent right maxillary central incisors (11) was altered. Besides the conservative and adequate delayed treatment, the sequelae on the permanent successors could not be avoided.
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spelling pubmed-53905502017-05-02 Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption de Oliveira, Gabriela Cristina da Silva, Juliana Calistro Ionta, Franciny Querobim de Alencar, Catarina Ribeiro Barros Gonçalves, Priscilla Santana Pinto de Oliveira, Thaís Marchini Cruvinel, Thiago Rios, Daniela Case Rep Dent Case Report Complicated crown fracture and crown-root fracture with pulp involvement expose dental pulp to the oral environment. The pulp outcome is often unpredictable because the patient and injury which are related to variables can influence the treatment of choice and the prognosis of the case. This report presents the case of a 4-year-old boy with complicated crown fracture with pulp polyp in the primary right maxillary central incisor (51) and crown-root fracture with pulp involvement in the primary left maxillary central incisor (61), which was treated only 3 months after the tooth injuries. The treatment of choice was extraction of tooth (61) due to a periapical lesion with disruption of the dental follicle of the permanent successor and pulpotomy (MTA) of the tooth (51), because the pulp presented signs of vitality. At the follow-up visits, no clinical, symptomalogical, and radiographic changes were observed until the primary tooth's exfoliation. However, at 3-year follow-up, the permanent successors showed hypocalcification and the position of the permanent right maxillary central incisors (11) was altered. Besides the conservative and adequate delayed treatment, the sequelae on the permanent successors could not be avoided. Hindawi 2017 2017-03-29 /pmc/articles/PMC5390550/ /pubmed/28465844 http://dx.doi.org/10.1155/2017/3157453 Text en Copyright © 2017 Gabriela Cristina de Oliveira et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
de Oliveira, Gabriela Cristina
da Silva, Juliana Calistro
Ionta, Franciny Querobim
de Alencar, Catarina Ribeiro Barros
Gonçalves, Priscilla Santana Pinto
de Oliveira, Thaís Marchini
Cruvinel, Thiago
Rios, Daniela
Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title_full Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title_fullStr Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title_full_unstemmed Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title_short Delayed Treatment of Traumatized Primary Teeth with Distinct Pulp Response: Follow-Up until Permanent Successors Eruption
title_sort delayed treatment of traumatized primary teeth with distinct pulp response: follow-up until permanent successors eruption
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5390550/
https://www.ncbi.nlm.nih.gov/pubmed/28465844
http://dx.doi.org/10.1155/2017/3157453
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