PS-020 TRAVMAYA BAĞLI KOMPLİKE KRON KIRIĞININ PARSİYAL PULPOTOMİ TEDAVİSİ: OLGU SUNUMU

Aim: The present case report intends to report the partial amputation and composite restoration of the complicated crown fracture (enamel-dentin-pulp) of the right central incisor of an 8-year-old girl with Mineral Trioxide Aggregate (MTA) and the composite restoration and treatment of uncomplicated crown fracture (enamel) of her left central incisor. Case Report: The patient was referred to our clinic with complaints of pain and fractures in her right and left maxillary incisors about an hour after the trauma. Clinical and radiographic examination revealed a complicated crown fracture and bleeding due to pulp perforation in tooth #11 and an uncomplicated fracture in tooth #21. We noted a positive response from the specified teeth in the vitality test and found no signs of mobility and swelling in the teeth. We did not observe any root and alveolar bone fractures but detected an open apex in the teeth radiographically. Following local anesthesia, we performed partial amputation (Cvek) with MTA (ProRoot, Dentsply, Tulsa Dental, Tulsa, OK) for tooth # 11 and permanent restoration with A2 anterior composite (Filtek Z350 XT; 3M ESPE, St. Paul, MN, USA) after self-etch bond system (3M Adhesive 200T, St. Paul, MN, USA) for teeth # 11 and 21. One year later, during the routine clinical and radiographic examinations, we determined that physiological root development in the teeth continued and that the open root apex started to be closed. The patient will continue to visit our clinic for her routine controls. Conclusion: MTA is common in routine clinical practice in treating partial pulpotomy and has high prospects in clinical and radiographic follow-up.