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2014•PubMedOpen access

Management of Complicated Crown Fracture with Miniature Pulpotomy: A case report.

Saeed Asgary, Mahta Fazlyab

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Abstract

Crown fractures account for the majority of dental traumas. If handled properly, prognosis of the pulp following a traumatic crown fracture can be favorable. The present case report focuses on the treatment of a traumatized mature permanent incisor with exposed pulp that was treated with the novel technique of miniature pulpotomy using calcium-enriched mixture (CEM) cement. One-year follow-up revealed that the tooth was responsive to vitality tests and radiographic assessment showed the presence of a thick dentinal bridge beneath the CEM layer.

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What this paper is about

Crown fractures account for the majority of dental traumas. If handled properly, prognosis of the pulp following a traumatic crown fracture can be favorable. The present case report focuses on the treatment of a traumatized mature permanent incisor with exposed pulp that was treated with the novel technique of miniature pulpotomy using calcium-enriched mixture (CEM) cement. One-year follow-up revealed that the tooth was responsive to vitality tests and radiographic assessment showed the presence of a thick dentinal bridge beneath the CEM layer.

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Available abstract

Crown fractures account for the majority of dental traumas. If handled properly, prognosis of the pulp following a traumatic crown fracture can be favorable. The present case report focuses on the treatment of a traumatized mature permanent incisor with exposed pulp that was treated with the novel technique of miniature pulpotomy using calcium-enriched mixture (CEM) cement. One-year follow-up revealed that the tooth was responsive to vitality tests and radiographic assessment showed the presence of a thick dentinal bridge beneath the CEM layer.

Key concepts: Pulpotomy, Dentistry, Crown (dentistry), Pulp (tooth), Dental trauma, Pulp capping, Tooth Fracture, Orthodontics

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