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Partial pulpotomy in a traumatized primary incisor with pulp exposure: case report
1Department of Pediatric Dentistry, Hebrew University-Hadassah Faculty of Dental Medicine, Jerusalem, Israel.
Pediatric Dentistry
|January 1, 1994
Summary
A rare crown fracture with pulp exposure in primary incisors was successfully treated conservatively. Partial pulpotomy using calcium hydroxide preserved pulp vitality and promoted apexogenesis and dentin bridge formation.
Area of Science:
- Pediatric Dentistry
- Dental Traumatology
- Endodontics
Background:
- Crown fractures with pulp exposure in primary incisors are uncommon and often lead to extraction due to challenges in patient cooperation.
- Preserving pulp vitality in such cases is crucial for maintaining the integrity of the primary dentition.
Observation:
- A case of a fractured primary incisor with pulp exposure and an undeveloped root is presented.
- The child underwent conscious sedation with midazolam and nitrous oxide to facilitate treatment.
Findings:
- A partial pulpotomy was performed using calcium hydroxide as the medicament.
- Radiographic follow-up at 21 weeks demonstrated complete apex closure (apexogenesis) and the formation of a dentin bridge near the amputation site.
Implications:
- This conservative approach successfully treated a complex dental injury in a pediatric patient.
- The findings suggest that partial pulpotomy with calcium hydroxide can be an effective alternative to extraction, promoting healing and root development in immature primary incisors.