{"title":"两中切牙冠骨折并发牙髓外露的家庭治疗","authors":"Luca Boschini","doi":"10.1016/j.gien.2018.09.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Aim</h3><p>As dental trauma is an unpredictable event, the patient is sometimes unable to receive dental care immediately in case of tooth fracture complicated by exposure to the pulp. It is conceivable that a long wait may favor bacterial contamination that can lead to necrosis of the pulp. The aim of this paper is to present a clinical case in which the pulp has been protected domiciliary to reduce post-traumatic hypersensitivity and the risk of pulpal necrosis.</p></div><div><h3>Materials and methods</h3><p>In the presented clinical case, the nail polish was used as an emergency material for the direct capping of the pulp of two fractured incisors. In this way it was possible to protect the pulp and seal the dentinal tubules for 5 days, such it is the time between trauma and therapy.</p></div><div><h3>Results</h3><p>The application of the nail polish led to a reduction in hypersensitivity; at 2-year follow-up both teeth were still vital.</p></div><div><h3>Conclusions</h3><p>Based on this experience, it is suggested the possibility to recommend the use of nail polish as a protective material for the pulp and for reducing symptoms in case of complicated and uncomplicated fractures, if the dentist is consulted by telephone and the patient is not in condition to reach it quickly.</p></div>","PeriodicalId":42221,"journal":{"name":"Giornale Italiano di Endodonzia","volume":"32 2","pages":"Pages 76-79"},"PeriodicalIF":0.5000,"publicationDate":"2018-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.gien.2018.09.001","citationCount":"1","resultStr":"{\"title\":\"Home management of crown fractures of two central incisors complicated by exposure of the pulp\",\"authors\":\"Luca Boschini\",\"doi\":\"10.1016/j.gien.2018.09.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Aim</h3><p>As dental trauma is an unpredictable event, the patient is sometimes unable to receive dental care immediately in case of tooth fracture complicated by exposure to the pulp. It is conceivable that a long wait may favor bacterial contamination that can lead to necrosis of the pulp. The aim of this paper is to present a clinical case in which the pulp has been protected domiciliary to reduce post-traumatic hypersensitivity and the risk of pulpal necrosis.</p></div><div><h3>Materials and methods</h3><p>In the presented clinical case, the nail polish was used as an emergency material for the direct capping of the pulp of two fractured incisors. In this way it was possible to protect the pulp and seal the dentinal tubules for 5 days, such it is the time between trauma and therapy.</p></div><div><h3>Results</h3><p>The application of the nail polish led to a reduction in hypersensitivity; at 2-year follow-up both teeth were still vital.</p></div><div><h3>Conclusions</h3><p>Based on this experience, it is suggested the possibility to recommend the use of nail polish as a protective material for the pulp and for reducing symptoms in case of complicated and uncomplicated fractures, if the dentist is consulted by telephone and the patient is not in condition to reach it quickly.</p></div>\",\"PeriodicalId\":42221,\"journal\":{\"name\":\"Giornale Italiano di Endodonzia\",\"volume\":\"32 2\",\"pages\":\"Pages 76-79\"},\"PeriodicalIF\":0.5000,\"publicationDate\":\"2018-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.gien.2018.09.001\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Giornale Italiano di Endodonzia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1121417118300463\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"DENTISTRY, ORAL SURGERY & MEDICINE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Giornale Italiano di Endodonzia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1121417118300463","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}
Home management of crown fractures of two central incisors complicated by exposure of the pulp
Aim
As dental trauma is an unpredictable event, the patient is sometimes unable to receive dental care immediately in case of tooth fracture complicated by exposure to the pulp. It is conceivable that a long wait may favor bacterial contamination that can lead to necrosis of the pulp. The aim of this paper is to present a clinical case in which the pulp has been protected domiciliary to reduce post-traumatic hypersensitivity and the risk of pulpal necrosis.
Materials and methods
In the presented clinical case, the nail polish was used as an emergency material for the direct capping of the pulp of two fractured incisors. In this way it was possible to protect the pulp and seal the dentinal tubules for 5 days, such it is the time between trauma and therapy.
Results
The application of the nail polish led to a reduction in hypersensitivity; at 2-year follow-up both teeth were still vital.
Conclusions
Based on this experience, it is suggested the possibility to recommend the use of nail polish as a protective material for the pulp and for reducing symptoms in case of complicated and uncomplicated fractures, if the dentist is consulted by telephone and the patient is not in condition to reach it quickly.
期刊介绍：
The Giornale Italiano di Endodonzia was founded in 1987 and is the official journal of the Italian Society of Endodontics (SIE). It is a peer-reviewed journal publishing original articles on clinical research and/or clinical methodology, case reports related to Endodontics. The Journal evaluates also contributes in restorative dentistry, dental traumatology, experimental pathophysiology, pharmacology and microbiology dealing with Endodontics.
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