Wang G, Wang C, Qin M
Dental Traumatology 2017;33:255-260
Background/Aim: Complicated crown fractures are relatively common in children where the maintenance of the pulp is especially important in young permanent teeth. The aim of this study was to analyze the pulp prognosis of permanent teeth with complicated crown fractures treated with conservative pulp treatment in adolescents.
Results: The study involved 375 teeth treated with direct pulp capping, partial or coronal pulpotomy, and direct pulp capping retreated by pulpotomy (partial or coronal). The frequency of pulp necrosis and infection was 10.1% (11/109) for partial pulpotomy and 9.8% (22/205) for coronal pulpotomy. There was no difference between partial and coronal pulpotomy (P=.673).
Conclusions: Partial or coronal pulpotomy, employed either as a primary pulp treatment or secondary to emergency pulp capping, had similarly satisfactory pulp survival rates. Read full abstract.
JOA: This is a fantastic new study where the outcome of various procedures for pulp has been compared based on a large material on crown fractured teeth with pulp exposures. The optimal success rate of pulpotomy in contrast to pulp capping is a very significant finding. The lack of influence of treatment delay is demonstrated once more. This is a study which will set the standard for crown fracture treatment in the future.