case_images: PMC7492961_01
case_images: Fracture with pulp exposure in both incisors.
case_images: CRID2020-8855331.001.jpg
case_images: PMC7492961_01_CRID2020-8855331.001.jpg
case_images: fig1
case_images: An 8-year-old male patient was sent for management after 3 days of an enamel-dentine-pulp fracture in the upper left central incisor (number 21) and crown-root fracture with pulp exposure in the upper right central incisor (number 11) (Figures 1-4).
case_images: Midcrown fracture with small pulp exposure in tooth no. 21 and crown-root fracture with protrusive pulp reaction in tooth no. 11.
case_images: CRID2020-8855331.002.jpg
case_images: PMC7492961_01_CRID2020-8855331.002.jpg
case_images: fig2
case_images: An 8-year-old male patient was sent for management after 3 days of an enamel-dentine-pulp fracture in the upper left central incisor (number 21) and crown-root fracture with pulp exposure in the upper right central incisor (number 11) (Figures 1-4).
case_images: Frontal view of the patient.
case_images: CRID2020-8855331.003.jpg
case_images: PMC7492961_01_CRID2020-8855331.003.jpg
case_images: fig3
case_images: An 8-year-old male patient was sent for management after 3 days of an enamel-dentine-pulp fracture in the upper left central incisor (number 21) and crown-root fracture with pulp exposure in the upper right central incisor (number 11) (Figures 1-4).
case_images: Panoramic radiography 3 days after trauma.
case_images: CRID2020-8855331.004.jpg
case_images: PMC7492961_01_CRID2020-8855331.004.jpg
case_images: fig4
case_images: An 8-year-old male patient was sent for management after 3 days of an enamel-dentine-pulp fracture in the upper left central incisor (number 21) and crown-root fracture with pulp exposure in the upper right central incisor (number 11) (Figures 1-4).
case_images: Pulpotomy of tooth no. 21 (a and b) and tooth no. 11 after removal of the palatine tooth fragment and after partial pulpotomy (c) with MTA application (d).
case_images: CRID2020-8855331.005.jpg
case_images: PMC7492961_01_CRID2020-8855331.005.jpg
case_images: fig5
case_images: After 10 minutes, a glass ionomer (Vitrabond Plus, 3M ESPE, USA) was applied over the MTA, and the patient was dismissed (Figure 5).
case_images: 2 weeks later, the glass ionomer was partially removed and direct composite restoration was concluded.
case_images: CRID2020-8855331.006.jpg
case_images: PMC7492961_01_CRID2020-8855331.006.jpg
case_images: fig6
case_images: The glass-ionomer restoration was partially removed, and directly bonded composite restoration was performed (IPS Empress Direct, IvoclarVivadent, Schaan, Liechtenstein) with gum retraction (Ultrapak 1, Ultradent, Utah, USA) (Figure 6).
case_images: Periapical radiography, at 2 months (a), 1 year (b), 2 years (c), and 3 years (d) after trauma.
case_images: CRID2020-8855331.007.jpg
case_images: PMC7492961_01_CRID2020-8855331.007.jpg
case_images: fig7
case_images: During the 6-month follow-up and from 1 to 5 years, the situation remained unchanged with no evidence of radiolucent lesions in radiographic examinations (Figure 7). Follow-up shows a continuation of root development and the creation of hard tissue at the site of the incision (Figure 7).
case_images: CBCT 5 years after trauma with a normal appearance.
case_images: CRID2020-8855331.008.jpg
case_images: PMC7492961_01_CRID2020-8855331.008.jpg
case_images: fig8
case_images: Cone-beam computerized tomography (CBCT) was used to monitor healing during the 5-year follow-up, allowing 3D visualization of the periapical area and discarding the existence of root resorption (Figure 8).
case_images: Follow-up after 6 months (up) and 3 years (down) with cervical discoloration in tooth no. 21.
case_images: CRID2020-8855331.009.jpg
case_images: PMC7492961_01_CRID2020-8855331.009.jpg
case_images: fig9
case_images: Light discoloration in the crown of 21 was evident at 3 years follow-up (Figure 9), but it did not disturb the patient or his family, so it was not addressed.