{"id":724,"date":"2017-11-14T21:18:12","date_gmt":"2017-11-14T21:18:12","guid":{"rendered":"http:\/\/www.endostlaurent.ca\/?p=724\/"},"modified":"2018-01-25T05:51:39","modified_gmt":"2018-01-25T05:51:39","slug":"management-dental-traumatic-injury","status":"publish","type":"post","link":"https:\/\/endostlaurent.com\/en\/2017\/11\/14\/management-dental-traumatic-injury\/","title":{"rendered":"MANAGEMENT OF A DENTAL TRAUMATIC INJURY"},"content":{"rendered":"<h3 style=\"text-align: center;\"><em>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent<\/em><\/h3>\n<p>&nbsp;<\/p>\n<p class=\"p1\"><span class=\"s1\">An 11 year-old caucasian female presented to our office on a cold winter day in December after slipping on ice and breaking her front tooth.<\/span><\/p>\n<h2 class=\"title left\">Analysis<\/h2>\n<p class=\"p1\"><span class=\"s1\">Clinical exam revealed an enamel and dentin fracture with subsequent pulp exposure of tooth #11.\u00a0<\/span><span class=\"s1\">The neighbouring teeth did not present any signs of trauma.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The patient was asymptomatic at time of examination, and there was no history of spontaneous pain or swelling,\u00a0<\/span><span class=\"s1\">thus eliminating the possibility of pulpal necrosis.\u00a0<\/span><span class=\"s1\">A head and neck exam was also performed to rule out any possible broken bones or trauma sequela.<\/span><\/p>\n<p><span class=\"s1\">Radiological exam revealed that tooth #11 had a broken crown and an immature (open) apex.<\/span><\/p>\n<h3>Diagnosis<\/h3>\n<p class=\"p1\"><span class=\"s1\">The diagnosis was:<b>\u00a0Asymptomatic irreversible pulpitis and normal apical tissues.<\/b><\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-724 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-1-Managementofadentaltramauticinjury.png'><img loading=\"lazy\" decoding=\"async\" width=\"178\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-1-Managementofadentaltramauticinjury-178x300.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie pr\u00e9-op\u00e9ratoire \/ Pre-operative radiograph\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-1-Managementofadentaltramauticinjury-178x300.png 178w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-1-Managementofadentaltramauticinjury.png 359w\" sizes=\"(max-width: 178px) 100vw, 178px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h2 class=\"title left\">Treatment<\/h2>\n<p>The treatment options offered to the patient were:<\/p>\n<ol>\n<li>Apexogenesis via partial or full pulpotomy. Prognosis: Favorable<\/li>\n<li>Apexification with a Bioceramic plug. Prognosis: Favorable<\/li>\n<\/ol>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Treatment Selection<\/span><\/h3>\n<p><span class=\"s1\">The parents consented for<b>\u00a0<\/b><a href=\"http:\/\/www.endostlaurent.ca\/en\/other-procedures\/\"><b>apexogenesis<\/b><\/a><\/span>.<\/p>\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">The treatment<\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">The procedure was completed in 1 visit. Using rigorous aseptic techniques, a full pulpotomy was performed with placement of Bioceramic Root Repair Material, a calcium silicate cement, on the remaining pulpal tissue and sealing the tooth with a temporary filling. The decision to do a full pulpotomy was taken to better control the bleeding.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The patient was then referred to her restorative dentist for the permanent restoration.<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-2 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-2 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-2 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-2' class='gallery galleryid-724 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-2-Managementofadentaltramauticinjury.png'><img loading=\"lazy\" decoding=\"async\" width=\"179\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-2-Managementofadentaltramauticinjury-179x300.png\" class=\"attachment-medium size-medium\" alt=\"Radiographie post-op\u00e9ratoire \/ Post-operative radiograph\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-2-Managementofadentaltramauticinjury-179x300.png 179w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-2-Managementofadentaltramauticinjury.png 361w\" sizes=\"(max-width: 179px) 100vw, 179px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n<h3 id=\"tw-target-text\" class=\"tw-data-text tw-ta tw-text-medium\" dir=\"ltr\" data-placeholder=\"Translation\"><span lang=\"fr\">Follow-up<\/span><\/h3>\n<p class=\"p1\"><span class=\"s1\">A 6-month follow-up showed absence of any signs or symptoms.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The radiograph shows complete root maturation and formation of dentinal bridge, hence isolating and protecting the pulpal tissue.<\/span><\/p>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2 class=\"title left\">More Information<\/h2>\n<h3><span class=\"s1\">Key points to remember when performing a partial or full pulpotomy<\/span><span class=\"s1\">:<\/span><\/h3>\n<ul>\n<li>There should be no signs or symptoms suggestive of pulpal necrosis<\/li>\n<li>Avoid using hemostatic agents in order to conserve the vitality of the remaining pulpal tissue<\/li>\n<li>Sealing the root canal space with a calcium silicate cement is imperative<\/li>\n<li>Failures will mostly occur due to a poor coronal restoration<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<hr \/>\n<h2 class=\"title left\">Additional Images<\/h2>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-3 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 100%;\n\t\t\t}\n\t\t\t#gallery-3 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-3 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-3' class='gallery galleryid-724 gallery-columns-1 gallery-size-medium'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon portrait'>\n\t\t\t\t<a href='https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-3-Managementofadentaltramauticinjury.png'><img loading=\"lazy\" decoding=\"async\" width=\"180\" height=\"300\" src=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-3-Managementofadentaltramauticinjury-180x300.png\" class=\"attachment-medium size-medium\" alt=\"Suivi \u00e0 6 mois \/ 6-month follow-up\" srcset=\"https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-3-Managementofadentaltramauticinjury-180x300.png 180w, https:\/\/endostlaurent.com\/wp-content\/uploads\/2017\/11\/C4-3-Managementofadentaltramauticinjury.png 361w\" sizes=\"(max-width: 180px) 100vw, 180px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>A case study by Dr. Chafic Safi, Centre Endodontique St-Laurent &nbsp; An 11 year-old caucasian female presented to our office on a cold winter day&hellip;<\/p>\n","protected":false},"author":2,"featured_media":790,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[44],"tags":[31,32,33,34,35,36],"class_list":["post-724","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-etude-de-cas-case-study-en","tag-canal-radiculaire-en","tag-cas-dentaire-en","tag-clinique-dentaire-en","tag-endodontie-en","tag-etudes-de-cas-en","tag-traitement-de-canal-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/724"}],"collection":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/comments?post=724"}],"version-history":[{"count":0,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/posts\/724\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media\/790"}],"wp:attachment":[{"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/media?parent=724"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/categories?post=724"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endostlaurent.com\/en\/wp-json\/wp\/v2\/tags?post=724"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}