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Journals / Uşak Üniversitesi Diş Hekimliği Fakültesi Dergisi / 2026 / Cilt: 4 Sayı: 2

The Success of Vital Pulp Therapy in a Young Permanent Tooth with a Complicated Crown Fracture Due to Trauma

Travmaya Bağlı Komplike Kron Kırığı Olan Genç Daimi Bir Dişte Vital Pulpa Tedavisinin Başarısı

Ceren Kaplan(ALTINBAŞ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİ, KLİNİK BİLİMLER BÖLÜMÜ, ÇOCUK DİŞ HEKİMLİĞİ ANABİLİM DALI)0000-0003-1779-1438
Tuğçe Akçora(University of Health Sciences, Gulhane Dentistry Faculty, Department of Pediatric Dentistry, Ankara, Turkey)0009-0005-7104-323X
Özlem Martı Akgün(SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, GÜLHANE SAĞLIK BİLİMLERİ ENSTİTÜSÜ, ÇOCUK DİŞ HEKİMLİĞİ ANABİLİM DALI)0000-0003-1180-1390
Pages
100–109
Publication Date
2026-08-19
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Preservation of pulp vitality enabled continued root development during the two-year follow-up period.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Complicated crown fractures are traumatic dental injuries involving the enamel, dentin, and pulp.
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Key Findings & Data:Case Report: An 8-year-old healthy boy presented with a complicated crown fracture of the maxillary central incisor following a fall at school.
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Conclusion & Impact:Preservation of pulp vitality enabled continued root development during the two-year follow-up period.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:Diş Kırıkları · Pulpotomi · Pulpa

Abstract

Aim: Complicated crown fractures are traumatic dental injuries involving the enamel, dentin, and pulp. In young permanent teeth, preservation of pulp vitality is essential to allow continued root development and maintain the tooth in function. This case report aimed to present the two-year clinical and radiographic outcomes of partial pulpotomy and fractured fragment reattachment in a young permanent maxillary central incisor with a complicated crown fracture. Case Report: An 8-year-old healthy boy presented with a complicated crown fracture of the maxillary central incisor following a fall at school. The fractured fragment had been stored in milk and brought to the clinic. The affected tooth showed a positive response to the cold pulp vitality test, with no evidence of root fracture or dentoalveolar injury. Partial pulpotomy was performed, and mineral trioxide aggregate was placed over the remaining vital pulp tissue. After pulpal healing and maintenance of vitality were confirmed, the fractured fragment was adhesively reattached. Regular clinical and radiographic follow-up examinations were performed for two years. The tooth remained vital and asymptomatic, with continued root development and no evidence of periapical pathology or root resorption. Conclusion: Partial pulpotomy with mineral trioxide aggregate followed by adhesive reattachment of the fractured fragment resulted in favorable clinical and radiographic outcomes. Preservation of pulp vitality enabled continued root development during the two-year follow-up period.

Özet

Amaç: Komplike kron kırıkları; mine, dentin ve pulpa dokularını içeren travmatik dental yaralanmalardır. Genç daimi dişlerde pulpa canlılığının korunması, kök gelişiminin devam edebilmesi ve dişin fonksiyonunun sürdürülebilmesi açısından önemlidir. Bu olgu sunumunun amacı, komplike kron kırığı bulunan genç daimi maksiller santral kesici dişe uygulanan parsiyel pulpotomi ve kırık parça reataşmanının iki yıllık klinik ve radyografik sonuçlarını sunmaktır. Olgu Sunumu: Sekiz yaşındaki sağlıklı erkek hasta, okulda düşme sonucu maksiller santral kesici dişinde meydana gelen komplike kron kırığı nedeniyle kliniğe başvurdu. Kırık parça süt içerisinde saklanarak kliniğe getirildi. Etkilenen diş soğuk pulpa vitalite testine pozitif yanıt verirken kök kırığı veya dentoalveolar yaralanma saptanmadı. Parsiyel pulpotomi uygulanarak kalan vital pulpa dokusu üzerine mineral trioksit agregat yerleştirildi. Pulpa iyileşmesi ve vitalitenin devam ettiği doğrulandıktan sonra kırık parça adeziv olarak yeniden yapıştırıldı. İki yıl boyunca düzenli klinik ve radyografik takipler gerçekleştirildi. Takip süresince diş vital ve asemptomatik kaldı; kök gelişiminin devam ettiği ve periapikal patoloji veya kök rezorpsiyonu bulunmadığı gözlendi. Sonuç: Mineral trioksit agregat kullanılarak gerçekleştirilen parsiyel pulpotomi ve ardından kırık parçanın adeziv olarak yeniden yapıştırılması olumlu klinik ve radyografik sonuçlar sağlamıştır. Pulpa canlılığının korunması, iki yıllık takip süresince kök gelişiminin devam etmesine olanak sağlamıştır.

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Cite This Article

Kaplan, C., Akçora, T., Akgün, Ö. M. (2026). The Success of Vital Pulp Therapy in a Young Permanent Tooth with a Complicated Crown Fracture Due to Trauma. Uşak Üniversitesi Diş Hekimliği Fakültesi Dergisi, Cilt: 4 Sayı: 2, 100–109. https://ajindex.com/articles/1647284

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