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A retrospective evaluation of patients with uncomplicated crown fractures and luxation injuries.
- Source :
-
Endodontics & dental traumatology [Endod Dent Traumatol] 1998 Dec; Vol. 14 (6), pp. 245-56. - Publication Year :
- 1998
-
Abstract
- This paper is a review of the clinical findings from my thesis "Pulp survival and hard tissue formation subsequent to dental trauma". Traumatic injuries in children and adolescents are a common problem, and the prevalence of such injuries has increased over the last 10-20 years. The purpose of the present investigations was to evaluate the long-term results following uncomplicated crown fractures and luxations involving subsequent pulp canal obliteration. A total of 241 patients with 545 injured teeth were available for clinical examination, of whom 102 answered a questionnaire and were interviewed before oral examination. In addition, 82 permanent incisors presenting with pulp canal obliteration were followed for a period of 7 to 22 years (mean 16 years). The findings showed little pulpal response to crown fracture and subsequent restorative procedures as long as there was no concomitant periodontal injury (15-year follow-up). Approximately every fourth resin composite filling was rated as unacceptable at clinical examination. The interview showed that half of the individuals were dissatisfied with the color and/or anatomic form of the composite restoration. Pulp canal obliteration was found in all luxation categories, and 69% of the teeth demonstrated yellow crown discoloration. According to the survival curve the 20-year pulp survival rate diagnosed radiographically was 84%. Although the risk of pulp necrosis increased with time, routine endodontic intervention of teeth with ongoing pulp canal obliteration of the root canal did not seem justified.
- Subjects :
- Adolescent
Adult
Child
Composite Resins
Dental Pulp Calcification etiology
Dental Pulp Necrosis etiology
Dental Restoration, Permanent
Female
Humans
Male
Outcome Assessment, Health Care
Retrospective Studies
Surveys and Questionnaires
Tooth Discoloration etiology
Tooth Avulsion complications
Tooth Avulsion psychology
Tooth Avulsion therapy
Tooth Crown injuries
Tooth Fractures complications
Tooth Fractures psychology
Tooth Fractures therapy
Subjects
Details
- Language :
- English
- ISSN :
- 0109-2502
- Volume :
- 14
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- Endodontics & dental traumatology
- Publication Type :
- Academic Journal
- Accession number :
- 9972156
- Full Text :
- https://doi.org/10.1111/j.1600-9657.1998.tb00848.x