Abstract
Traumatic dental injuries are highly prevalent among children. This article describes a case report of a patient who has experienced dental trauma at 8 years old, which has led to enamel-dentine fracture with pulp exposure in the left central incisor and crown-root fracture with pulp exposure in the right central incisor. Partial pulpotomy was performed with the aim of maintaining the neurovascular bundle, thus allowing normal radicular formation. During follow-up 5 years later, teeth were asymptomatic and with no evidence of radiolucent lesions in radiographic examinations. This report demonstrates that traumatic fractures with pulp exposure can be treated effectively by the described technique.
Highlights
Traumatic dental damages happen with high incidence in youngsters and teenagers, corresponding to 5% of all damages that individuals are searching treatment for [1]
The International Association of Dental Traumatology (IADT) and the American Academy of Pediatric Dentistry (AAPD) have issued a consensus statement after analyzing dental publications and have recommended partial pulpotomy for this clinical situation [12, 13]. This recommendation is based on the fact that every effort must be made to preserve pulpal vitality in the young permanent tooth to guarantee continuous root development and increased resistance of the tooth
Than 4 mm) of pulpal exposure affects the prognosis of partial pulpotomy with calcium hydroxide dressing [6, 21]
Summary
Traumatic dental damages happen with high incidence in youngsters and teenagers, corresponding to 5% of all damages that individuals are searching treatment for [1]. In immature permanent teeth with traumatic exposed pulps, partial and total pulpotomy are the treatment of choice [6,7,8,9,10,11,12,13,14,15]. Less porosity (tunnel defects) in dentin bridges provides more effective sealing against microorganism penetration and this is probably the reason for a more successful outcome [8, 9, 16, 20]. This clinical report is aimed at describing a 5-year followup of two traumatized immature permanent maxillary incisor teeth with pulp exposure
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