Volume 20, Issue 6 (2-2017)                   hmj 2017, 20(6): 404-410 | Back to browse issues page

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Sadr S, Raoof M. Management of permanent incisors with complicated crown fracture by MTA pulpotoy. hmj. 2017; 20 (6) :404-410
URL: http://hmj.hums.ac.ir/article-1-1661-en.html
Hormozgan University of Medical Science, Bandar Abbas, Iran
Abstract:   (1736 Views)

Introduction: Complicated crown fractures involve enamel, dentin, and pulp and occur in 0.9 to l3% of all dental injuries. If left untreated, will always result in pulp necrosis but, if it handled correctly, prognosis of the pulp following a traumatic crown fracture can be favorable.


Saeedeh Sadr, DMS, MS.

School of Dentistry, Hormozgan University of Medical Sciences.

Bandar Abbas, Iran

Tel:+98 9390815095



Case Report: The present case report describes an apexogenesis report of a 9-year old boy referred to department of Endodontics 4 days after an impact trauma to the maxillary right central and lateral incisor that caused a complicated crown fracture and pulpal exposure. In the radiographic examination, the tooth was observed to be immature. After access cavity preparation, cervical pulpotomy was performed, and the remaining pulp was capped with mineral trioxide aggregate (MTA) cement. The crown was restored by composite on the next day. The radiographic and clinical examinations on the 18-month follow ups showed that the tooth remained functional, root development was completed, and the apex was formed. No further endodontic intervention was necessary.

Conclusion: MTA pulpotomy is an effective treatment in maintaining pulpal vitality and allowing physiological root development.

Keywords: Apexogenesis, MTA Cement, Pulpotomy, Trauma
Citation: Sadr S, Raoof M. Management of permanent incisors with complicated crown fracture by MTA pulpotoy. Hormozgan Medical Journal 2017;20(6):404-410.
Full-Text [PDF 321 kb]   (660 Downloads)    
Type of Study: Research | Subject: medical
Received: 2017/03/14 | Accepted: 2017/03/14 | Published: 2017/03/14

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