Yu, Lucy 
ORCID: 0000-0003-2757-6125, Kahler, Bill, Nanayakkara, Shanika and Prabhu, Neeta
(2022)
Retrospective analysis of the outcomes of pulpotomies in traumatised permanent anterior teeth.
DENTAL TRAUMATOLOGY, 38 (6).
pp. 505-511.
Abstract
<h4>Background/aim</h4>Complicated crown fractures are frequently encountered in the paediatric population and pulpotomy procedures (either partial or coronal) are recommended to maintain the pulp. The aim of this study was to determine the pulp outcomes of permanent teeth with complicated crown fractures treated with pulpotomy in a hospital-setting and to identify potential factors which may influence the outcomes.<h4>Material and methods</h4>Data for this retrospective study were extracted from dental records of patients with complicated crown fractures and treated with pulpotomies at a single centre between 1 January 2015 and 30 August 2019. Pulp outcomes were determined, and the associations between the outcome and independent variables were assessed using the Chi-Square test of independence and the Point-Biserial Correlation Test. Predictors of outcome were identified using the binary logistic regression model.<h4>Results</h4>The overall success of pulpotomy in managing traumatised permanent teeth was 61%, which was lower than those previously reported. Pulp healing was seen in 54.1% and 73.7% of teeth treated with partial pulpotomies and coronal pulpotomies, respectively. The presence of a radiographically detectable dentine bridge (p < .01) and longer clinical experience of the clinician (p < .04) was significantly associated with successful outcomes. The history of pain and the stage of root development were identified as significant predictors of the outcome.<h4>Conclusion</h4>Pulpotomy is a viable treatment modality for complicated crown fractures in the paediatric population. However, appropriate case selection and further training may be required to ensure improved pulp healing outcomes. A longer follow-up period should be considered to identify late-stage complications.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | complicated crown fractures, dental trauma, permanent teeth, pulp prognosis, pulpotomy |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Dentistry |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 24 Aug 2022 11:12 |
| Last Modified: | 18 Jan 2023 20:46 |
| DOI: | 10.1111/edt.12781 |
| Open Access URL: | https://onlinelibrary.wiley.com/doi/full/10.1111/e... |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3162195 |
Dimensions
Dimensions
