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Partial Pulpotomy with BioAggregate in Complicated Crown Fractures: Three Case Reports
1From Department of Pediatric Dentistry, Faculty of Dentistry, University of Eskisehir Osmangazi, Eskisehir, Turkey.
The Journal of Clinical Pediatric Dentistry
|December 24, 2015
Summary
BioAggregate effectively treated complicated crown fractures in permanent incisors using partial pulpotomy. This dental procedure maintained pulp vitality and prevented adverse symptoms over a 24-month follow-up.
Area of Science:
- Dentistry
- Biomaterials Science
Background:
- Complicated crown fractures pose a significant challenge in pediatric and adult dentistry.
- Partial pulpotomy is a vital pulp therapy aiming to preserve pulp vitality.
- BioAggregate is a novel biomaterial investigated for endodontic applications.
Observation:
- Three cases of complicated crown fractures in maxillary permanent central incisors were treated.
- The treatment involved partial pulpotomy with BioAggregate.
- Clinical and radiographic assessments were conducted over a 24-month period.
Findings:
- No spontaneous pain was reported by any patient during the follow-up.
- Absence of periapical radiolucency indicated healthy periapical tissues.
- Coronal discoloration did not occur, suggesting intact pulp health.
- Pulp vitality was confirmed throughout the 24-month observation period.
Implications:
- BioAggregate demonstrates potential as a suitable material for partial pulpotomy in complicated crown fractures.
- This approach may offer a viable alternative to root canal treatment, preserving natural tooth structure.
- Further research with larger sample sizes is warranted to confirm these promising findings.

