Apexogenesis of traumatized maxillary right central incisor: Case report with 4years follow up

 
 
 
  • Abstract
  • Keywords
  • References
  • PDF
  • Abstract


    The main goal of vital pulp therapy is to preserve and maintain pulpal health in teeth that have been exposed to caries, trauma, and restorative procedures. This type of endodontic treatment is very important in young permanent teeth that have not reached their complete length and exhibit thin-walled roots and wide open apices. The developments in knowledge of pulpal physiology and immunology, beside to newly introduced dental materials, have changed the treatment approaches for teeth with involved pulps. This report describes a case of a young patient in whom maxillary right central incisor suffered crown fractures because of a traumatic accident. Pulpotomy with MTA were performed in order to achieve apexogenesis and the tooth was restored with a glass ionomer cement and composite resin. The patient was reviewed over 4years.

     


  • Keywords


    Apexogenesis, MTA, Open Apex, Pulpotomy.

  • References


      [1] Andreasen JO, Andreasen FM. Textbook and colour atlas of traumatic injuries to the teeth. 3rd ed. St. Louis, MO: Mosby; 1994.

      [2] Bakland LK. Endodontic considerations in dental trauma. In: Ingle JI, Bakland LK, eds. Endodontics. 5th ed. London: BC Decker Inc.2002: 795-844.

      [3] Webber RT. Apexogenesis versus apexification. Dent Clin North Am 1984; 28: 669-97.

      [4] Nosrat A, Asgary S. Apexogenesis treatment with new endodontic cement: a case report. J Endod 2010; 36:912-4. https://doi.org/10.1016/j.joen.2009.11.025.

      [5] Olsburgh S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumatol 2002; 18:103-15. https://doi.org/10.1034/j.1600-9657.2002.00004.x.

      [6] Andreasen FM, Noren JG, Andreasen JO, Engelhardtsen S, Lindh-Stromberg U. Long-term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int 1995; 26: 669-81.

      [7] Keneth M. Hargreaves, Louis H. Berman. Cohen’s Pathways of the pulp. 11th ed. Elsevier; 2016; 849.

      [8] Pitt Ford TR, Shabahang S. Management of incompletely formed roots. In: Walton RE, Torabinejad M, editors. Principles and Practice of Endodontics. 3rd ed. Philadelphia: W.B. Saunders Co. 2002; 388-404.

      [9] Glickman GN, Bakland LK, Fouad AF, Hargreaves KM, Schwatrz SA, et al. Diagnostic terminology, report of an online survey. J Endod 2009; 35(12): 1625-1633. https://doi.org/10.1016/j.joen.2009.09.034.

      [10] Asgary S, Eghbal MJ, Parirokh M, Ghanavati F, Rahimi H. A comparative study of histologic response to different pulp capping materials and a novel endodontic cement. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008; 106:609–14. https://doi.org/10.1016/j.tripleo.2008.06.006.

      [11] Patel R, Cohenca N. Maturogenesis of a curiously exposed immature permanent tooth using MTA for direct pulp capping: a case report. Dent Traumatol 2006; 22:328–33. https://doi.org/10.1111/j.1600-9657.2006.00471.x.

      [12] Souza RA, Gomes SC, Dantas Jda C, Silva-Sousa YT, Pecora JD. Importance of the diagnosis in the pulpotomy of immature permanent teeth. Braz Dent J 2007; 18:244-7. https://doi.org/10.1590/S0103-64402007000300013.

      [13] Belobrov I, Weis MV, Parashos P. Conservative treatment of a cervical horizontal root fracture and a complicated crown fracture: a case report. Aust Dent J 2008; 53:260-4. https://doi.org/10.1111/j.1834-7819.2008.00058.x.

      [14] 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. https://doi.org/10.1016/S0099-2399(78)80153-8.

      [15] Kontham UR, Tiku AM, Damle SG, Kalaskar RR. Apexogenesis of a symptomatic mandibular first permanent molar with calcium hydroxide pulpotomy. Quintessence Int 2005; 36:653–7.

      [16] Ford TR, Torabinejad M, Abedi HR, Bakland LK, Kariyawasam SP. Using mineral trioxide as a pulp-capping material. J Am Dent Assoc 1996; 127:1491–4. https://doi.org/10.14219/jada.archive.1996.0058.

      [17] Andelin WE, Shabahang S, Wright K, Torabinejad M. Identification of hard tissue after experimental pulp capping using dentin sialoprotein (DSP) as a marker. J Endod 2003; 10:646–50 https://doi.org/10.1097/00004770-200310000-00008.

      [18] Barthel CR, Rozenkranz B, Leuenberg A, Roulet JF. Pulp capping of carious exposures: treatment outcome after 5 and 10 years: a retrospective study. J Endod 2000; 26:525–8. https://doi.org/10.1097/00004770-200009000-00010.

      [19] Cox CF, Keall CL, Keall HJ, Ostro E, Bergenholts G. Biocompatibility of surface-sealed dental materials against exposed pulps. J Prosthet Dent 1987; 57:1–8. https://doi.org/10.1016/0022-3913(87)90104-1.


 

View

Download

Article ID: 27190
 
DOI: 10.14419/ijdr.v7i1.27190




Copyright © 2012-2015 Science Publishing Corporation Inc. All rights reserved.