Minimal intervention treatment of a complicated crown fracture in a maxillary lateral incisor by partial pulpotomy and fragment reattachment: A case report with a 10‑year follow‑up
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- Published online on: June 20, 2024 https://doi.org/10.3892/wasj.2024.257
- Article Number: 42
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Copyright : © Shetty et al. This is an open access article distributed under the terms of Creative Commons Attribution License [CC BY 4.0].
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Abstract
Encountering sports‑related dental trauma, particularly in anterior teeth, is a prevalent occurrence in clinical practice, and immediate consideration and treatment are crucial. Clinicians need to act promptly and be familiar with the available treatment options. In complicated crown fractures, the primary treatment approach should involve the maintenance of pulp vitality. The benefits of partial (Cvek) pulpotomy include the preservation of the cell‑rich coronal pulp tissue, which enhances the possibility for healing and allows continued reparative dentin deposition. For the restoration of aesthetics, fragment reattachment, facilitated by newer adhesive systems, has become a viable alternative, when the original fragment is well‑preserved. This approach is highlighted in the present study in a successfully treated case with a 10‑year follow up. This approach provides improved function, favourable psychological impacts, and a more rapid, simpler process, while maintaining pulp vitality. The case described in the present study is reported in accordance with the PRICE guidelines.
