Combination injuries 2. The risk of pulp necrosis in permanent teeth with subluxation injuries and concomitant crown fractures

Lauridsen, Eva; Hermann, Nuno V.; Gerds, Thomas Alexander; Ahrensburg, Søren Steno; Kreiborg, Sven; Andreasen, Jens Ove

doi:10.1111/j.1600-9657.2011.01101.x

Cited by 68 publications

(80 citation statements)

References 21 publications

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“…Current literature suggests that up to 9 days delay between the time of trauma and treatment may have minimal effect on the outcome of Cvek pulpotomies . The outcome does not appear to be affected by the exposure size as long it is less than 4 mm . A Cvek pulpotomy will have a better prognosis in a tooth with an open apex than in a tooth with a closed apex . This is even more relevant in cases with a concomitant luxation injury .…”

Section: Discussionmentioning

confidence: 97%

Cvek pulpotomy – revisited

Bimstein

Rotstein

2016

Dental Traumatology

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Background/Aim While some studies support the notion that the time elapsed from coronal fracture and treatment with Cvek pulpotomy in permanent teeth plays an important role in minimizing the possibility of pain and discomfort, microbial pulp invasion, and ensuring pulp and periodontal healing, others consider that neither time between the accident and treatment nor size of exposure is critical if the inflamed superficial pulp tissue is amputated to the level of a healthy pulp. This study compares published data in an attempt to assess whether the outcome of Cvek pulpotomies is affected by these factors. Results and conclusions Evidence in the literature suggests to treat a permanent tooth with a complicated crown fracture as soon as possible to diminish the possibility of pain and prevent necrosis and infection of the pulp. Delay of treatment by 9 days or less may have minimal effect on the outcome of Cvek pulpotomies. While the literature indicates that pulp exposures of 4 mm or less may have a good prognosis after a Cvek pulpotomy, the prognosis in teeth with pulp exposures of more than 4 mm has not yet been clarified. Although the literature is not conclusive regarding a difference in the outcomes of Cvek pulpotomies in teeth with open or closed apices, it appears that teeth with open apices have a better prognosis. The outcome of a Cvek pulpotomy may be compromised by a luxation injury that diminishes the tooth's blood supply and innervation. A good restoration that prevents bacterial penetration into the tooth is essential for the success of a Cvek pulpotomy.

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Section: Discussionmentioning

confidence: 97%

Cvek pulpotomy – revisited

Bimstein

Rotstein

2016

Dental Traumatology

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“…By using multivariate regression statistics, Lauridsen et al (32)(33)(34)(35) found in combined luxation-crown fracture injuries that beside the already known variables for predicting PN after luxation injuries (ie, luxation diagnosis and stage of root development), reaction to electrical pulp testing (EPT) at the time of injury played an important role. Thus, teeth that did not respond to EPT had a significantly greater risk of developing PN in the first year after injury.…”

Section: Crown Fractures: Predicting Pulpal Responsementioning

confidence: 98%

Pulpal Response after Acute Dental Injury in the Permanent Dentition: Clinical Implications—A Review

Andreasen

Kahler

2015

Journal of Endodontics

102

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“…The prevalence of trauma in the permanent dentition has been reported to range from 2.6% to 35% with a greater incidence occurring between the ages of 7 and 15 , when most permanent teeth are in an incomplete root development stage. Unfortunately, approximately 50% of the traumatized teeth may be diagnosed with pulpal necrosis , with a greater incidence occurring following severe injuries such as intrusions and avulsions and combination injuries . Thus, children with a developing dentition are at an increased risk for sustaining injury that could lead to pulpal necrosis.…”

Section: Common Features Of Current Repsmentioning

confidence: 99%

An update on clinical regenerative endodontics

Diogenes¹,

Henry²,

Teixeira³

et al. 2013

Endodontic Topics

302

258

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Endodontic management of immature permanent teeth with necrotic pulps is both a clinical problem for dental practitioners and a public health care problem. Although it is feasible to perform apexification procedures, the long‐term survival of these teeth is questionable due to thin, incompletely formed dentinal walls. Regenerative endodontic procedures have emerged as a viable treatment alternative for these teeth. This review summarizes the evolution of these procedures while presenting recent advances, including treatment protocol modifications based on translational studies and future bioengineering approaches.

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Combination injuries 2. The risk of pulp necrosis in permanent teeth with subluxation injuries and concomitant crown fractures

Abstract: A concomitant crown fracture and no response to EPT at the initial examination may be used to identify teeth at increased risk of PN following subluxation injury.

Cited by 68 publications

References 21 publications

Cvek pulpotomy – revisited

Cvek pulpotomy – revisited

Pulpal Response after Acute Dental Injury in the Permanent Dentition: Clinical Implications—A Review

An update on clinical regenerative endodontics

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