Document Type

Article

Publication Date

8-2007

Publisher

Wiley

Source Publication

Dental Traumatology

Source ISSN

1600-4469

Original Item ID

DOI: 10.1111/j.1600-9657.2005.00446.x

Abstract

A retrospective study was carried out on the dental trauma records of 93 patients (55 boys, 38 girls) with 129 crown-fractured teeth. The patients’ average age was 9.57 years (SD 1.57), ranging between 7 and 15 years. Uncomplicated crown facture (comprising enamel–dentin) was the most observed type of injury (n = 107, 83%). Only 15 patients (16.13%) sought treatment in less than 24 h following the injury. Of 41 injured teeth (31.79%) the apices were open at the time of presentation at the clinic. The initial treatment of these injured teeth were interim restoration with acid-etch and composite (69%), Cvek amputation (2.33%), fragment reattachment (1.55%), apexification (APX, 10.07%), and root-canal treatment (RCT, 17.05%). Out of 94 teeth, which were diagnosed as vital on admittance, 23 (24.46%) later developed pulp necrosis and required APX or RCT depending on their apical status. In 66 teeth (51.16%) definitive treatment was provided with only esthetic restoration (ER), while in 15.50% and 26.68% of injured teeth ER was carried out following APX and RCT, and RCT, respectively. Definitive treatment was provided in 3–6 months for 29.45% of the injured teeth, while 27.13% and 20.16% of teeth received definitive treatment within 1–3 months and 6 months to 1 year, respectively. Type of crown-fracture, elapsed time following injury, and vitality of the tooth on admittance and pulp necrosis observed were significantly related to the total time spent for definitive treatment (P < 0.05).

Comments

Accepted version. Dental Traumatology, Vol. 23, No. 4 (August 2007): 211-217. DOI. © 2007 Wiley. Used with permission.

H. Cem Güngör was affiliated with Hacettepe University at the time of publication.

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