Akademik Veri Yönetim Sistemi
21st ESE Biennial 2023, Helsinki, Finlandiya, 6 - 09 Eylül 2023
Aim: To present that partial pulpotomy is one of the vital treatment options in a permanent mature tooth with complicated crown fracture (CCF).
Introduction: Pulp exposure caused by CCF in permanent teeth is usually treated with Cvek pulpotomy, which involves removing 1-3 ml of coronal pulp adjacent to the pulp exposure. Cvek pulpotomy is a popular treatment method as it involves the preservation of cell-rich coronal pulp tissue that facilitates healing.
Case Presentation: A 14-year-old female patient with no systemic diseases applied to the department of endodontics due to a fracture of her tooth as a result of a trauma. In the extraoral examination, abrasions were detected on the patient's face. As a result of intraoral and radiographic examinations, a CCF including the pulp was detected in tooth #22 of. An uncomplicated crown fracture was diagnosed in tooth # 32. The mobile part of the crown was extracted and kept in distilled water to prevent it from drying.
For tooth #22, a Cvek pulpotomy using MTA was performed by removing 2 mm of the exposed coronal pulp with a sterile steel round bur. The exposure sites were gently rinsed with sterile saline to remove any debris and to control bleeding. The exposed pulp was directly capped with a 2–3 mm thick MTA layer. Conventional glass ionomer cement was used as the temporary restoration material.
Since the fracture line was 2 mm below the gingiva, a gingivectomy was performed. The composite resin restoration was applied to tooth # 32. The patient was given another appointment for permanent restoration. Until the appointment date, the patient kept the tooth fragment in distilled water. In the second appointment, after isolation with teflon tape, the tooth fragment was bonded using dual-cured resin cement. At the 6-month follow-up, tooth #22 was asymptomatic and remaintained its vitality.
Discussion: In cases of CCF, various treatment methods such as direct pulp capping, pulpoectomy, and root canal treatment can be considered depending on factors such as the age of the patient and the condition of the pulp.
Conclusion: Cvek pulpotomy using MTA can be considered as a successful treatment choice for complicated crown fractures in mature teeth.Complicated crown fractures in mature teeth can be successfully treated with a cvek pulpotomy using MTA.