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Related Experiment Videos

Cvek pulpotomy - revisited.

Enrique Bimstein1, Ilan Rotstein2

  • 1Division of Pediatric Dentistry, Interprofessional Education and Global Outreach, University of Kentucky College of Dentistry, Lexington, KY, USA.

Dental Traumatology : Official Publication of International Association for Dental Traumatology
|July 12, 2016
PubMed
Summary
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Prompt treatment of permanent teeth with complicated crown fractures using Cvek pulpotomy is recommended to prevent pain and infection. Minor delays (≤9 days) and small pulp exposures (<4 mm) generally yield good outcomes, especially in teeth with open apices.

Area of Science:

  • Dentistry
  • Endodontics
  • Pediatric Dentistry

Background:

  • Cvek pulpotomy is a treatment for complicated crown fractures in permanent teeth.
  • The impact of treatment delay and exposure size on Cvek pulpotomy outcomes is debated.

Purpose of the Study:

  • To assess if treatment timing and pulp exposure size affect Cvek pulpotomy outcomes.
  • To compare published data on factors influencing Cvek pulpotomy success.

Main Methods:

  • Systematic review and comparison of published data on Cvek pulpotomies.
  • Analysis of factors including time to treatment, pulp exposure size, apex status, and associated injuries.

Main Results:

  • Early treatment of complicated crown fractures is advised to prevent pulp necrosis and infection.
Keywords:
crown fracturepermanent toothprognosistreatment

Related Experiment Videos

  • Delays of 9 days or less may have minimal impact on Cvek pulpotomy success.
  • Pulp exposures ≤4 mm generally have a good prognosis; larger exposures require further study.
  • Teeth with open apices appear to have a better prognosis.
  • Luxation injuries and inadequate restorations can compromise outcomes.

    • Conclusions:

    • Prompt Cvek pulpotomy for permanent teeth with complicated crown fractures is crucial.
    • While minor delays and small exposures are often well-tolerated, larger exposures need more research.
    • Factors like apex development, associated injuries, and restoration quality significantly influence treatment success.