Delayed Partial Pulpotomy in a Midroot and Complicated Crown-root–fractured Permanent Incisor with Hyperplastic Pulpitis

A Case Report

Çalşkan, Mehmet Kemal PhD, DDS
Savranoğlu, Senem PhD, DDS

Department of Endodontics, Ege University, İzmir, Turkey

Address requests for reprints to Dr. Mehmet Kemal Çalıskan, Ege Üniversitesi Dişhekimliği Fakültesi, Endodonti Bilim Dalı, Bornova, İzmir, 35100, Türkiye. E-mail address: [email protected].

Journal of Endodontics 36(7):p 1250-1253, July 2010.

Abstract

Introduction

The occurrence of multiple injuries of the same tooth is extremely rare. This case report describes the treatment in a midroot and complicated crown-root–fractured permanent incisor that remained untreated for 4 years after the accident.

Methods

The tooth was treated by delayed partial pulpotomy using calcium hydroxide.

Results

At the 3-year follow-up after treatment, the tooth was still vital and functional without any clinical and radiographic signs and symptoms.

Conclusions

A young permanent tooth with hyperplastic pulpitis caused by trauma has a great inherent defensive capacity to heal after delayed partial pulpotomy despite adverse conditions.