Pulp Therapy
Deanna M. Noble, DDS (she/her/hers)
Resident
University of Illinois at Chicago, Chicago IL
University of Illinois at Chicago
Chicago, Illinois, United States
Evelina Kratunova, MDS, MFD, D.Ch.Dent, FFD
University of Illinois at Chicago
Satish B. Alapati, PhD, DDS
University of Illinois at Chicago
Azza Tagelsir Ahmed, PhD, MSc, BDS
University of Illinois at Chicago
Sahar Alrayyes, DDS, MS
Clinical Associate Professor and a Pediatric Dentist
University of Illinois at Chicago
University of Illinois at Chicago
Chicago, Illinois, United States
Brittaney J. Hill, DDS, MS, MPH
Program Director
University of Illinois Chicago College of Dentistry
University of Illinois at Chicago
Chicago, Illinois, United States
Purpose: To determine the success rate of pulp therapy of anterior permanent teeth post traumatic injury.
Methods: A retrospective chart audit of patients aged 5-16 years who had at least one anterior permanent tooth that experienced trauma and required pulpal therapy between January 1, 2016 and October 1, 2022 from the electronic health records (EHR) of a university-based pediatric dental clinic was analyzed. Data was collected regarding patient demographics, tooth type, stage of root maturity (radiographically based on the Cveck classification), type of dental trauma, treatment completed, medicament used, adverse outcome post treatment, and need for retreatment. Logistic regression with binary outcome was used to assess success rate of pulp therapy based on treatment completed and root development.
Results: A total of 169 children [Age-Mean (SD) = 9.34 (1.86)] were included. One hundred and seventy-five traumatized teeth required pulp therapy, where 66.66% had complete root development. Pulp therapy performed included Cvek pulpotomy (2%), revascularization (16%), and root canal therapy (82%). Follow-up period ranged between 1 and 12 months (mean 2.6 months). At 12 months, 14/67 (38%) needed a retreatment. No significant differences were found for treatment success between the mature and immature permanent teeth as determined by the presence of adverse outcome including pain and sinus tract as a follow-up symptom or retreatment.
Conclusions These results suggest that the success of pulp therapy post trauma is independent of root development status and treatment. Clinical studies with longer follow-up periods are required to better evaluate endodontic intervention post dental trauma.