Pulpotomy and complicated crown fracture. An 11-year-old female patient came to the clinic 4 days after suffering a fall at school and complaining of hot and cold pain, as well as a fracture of tooth 11.
Clinical examination revealed pulp exposure in the tooth.
As the pulp had been exposed and contaminated for a long time, a pulpotomy of about 2mm was performed with a laminated drill, irrigated with saline solution. After drying, Bio C Repair, a bioceramic cement, was placed.
The fragment was then glued in place and the patient was advised to continue with the treatment if necessary.
Case carried out by Fernanda Santiago, a student in the endodontics specialization program at HPG Brasília.
In: Prado et al. Coronoradicular fracture: a multidisciplinary approachRev Odontol UNESP. 2012 Sept-Oct.
A coronoradicular fracture is defined as a fracture involving enamel, dentin and cementum. These fractures can be
classified as complicated, when there is pulpal involvement, and uncomplicated, when this does not occur.
This type of fracture comprises 5% of the traumatic injuries that affect the permanent dentition and 2% of the injuries that occur in the deciduous dentition. The etiological factors most commonly associated with these fractures during childhood are falls; in adolescence, it is related to sports practice and, in adults, to car accidents. Traumas related to violence have also been reported in the literature. The most commonly affected tooth is the maxillary central incisor, whose trauma can cause functional, aesthetic and phonetic problems
.
The proposed treatments for uncomplicated coronoradicular fractures consist of fragment removal associated
with restorative treatment, or fragment removal, gingivectomy and restorative treatment, depending on the case. In cases of complicated fractures, the treatment consists of fragment removal, gingivectomy, endodontic treatment and restorative treatment, or even fragment removal associated with orthodontic extrusion of the apical fragment or surgical extrusion of the same, associated with endodontic and prosthetic treatment.
Pulpotomy and uncomplicated crown fracture.
