Saúde Bucal e Gestão Odontológica

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Pulp Prognosis of Crown-Related Fractures, in Relation to Presence of Luxation Injury and Root Development Stage

Didem Atabek, Alev Alacam, Itir Aydintug, Ilknur Baldag

Aim: The aim of this study was to evaluate the prognosis of crown-related fractures with/without luxation injury in relation to the root development stage and referral time for treatment. Material and Methods: This retrospective study was carried out on 37 complicated and 69 uncomplicated crown fractured teeth in 75 patients referred to the Department of Pedodontics of Gazi University in Ankara, Turkey. The records of cases were examined for the following: age, sex, teeth number, trauma type, time elapsed following injury, accompanying trauma type, treatment and prognosis. The data were analyzed using the chi-square or binomial tests, and a p<0.05 was considered statistically significant. Results: The dental trauma records of patients with an average age of 10 years, including 75 patients with 37 complicated (34.9%) and 69 uncomplicated crown-fractured teeth (65.1%), were evaluated. The most commonly affected teeth were the maxillary right central incisors (46.2%). Only 16 patients (43.2%) with complicated crown fractures were referred to the clinic within the same day of the injury, whereas the number for uncomplicated crown fractures was 24 patients (34.7%) For uncomplicated crown fractures referred to the clinic after 1 week, increased vitality loss was seen. Depending on the accompanying trauma type and the time elapsed after trauma; the prognosis of the cases (even uncomplicated crown fractures) was affected negatively. Conclusions: It was concluded that even simple crown fractures with open apices may end up with inflammation or pulp necrosis because of late referral besides accompanying trauma.