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Pulp vitality and coronal discoloration following traumatic injuries

Pulp vitality and coronal discoloration following traumatic injuries

Article information

Restor Dent Endod. 2010;35(6):492-496
Publication date (electronic) : 2010 November 30
doi : https://doi.org/10.5395/JKACD.2010.35.6.492
Microscope Center, Department of Conservative Dentistry, Yonsei University, Seoul, Korea.
Correspondence to Euiseong Kim, DDS, MSD, PhD. Professor, Microscope Center, Department of Conservative Dentistry, Yonsei University School of Dentistry, 250 Seongsanno, Seodaemun-gu, Seoul, Korea 120-752. TEL, +82-2-2228-3150; FAX, +82-2-313-7575; andyendo@yuhs.ac
Received 2010 August 26; Revised 2010 September 13; Accepted 2010 October 19.

Abstract

Coronal discoloration is a common sequela to traumatic injuries. In subluxation cases, although the injury is not strong enough to rupture the apical vessels, discoloration may appear by tearing thin walls or occluding small capillaries. In absence of infection pulpal regeneration can occur, and as a result discoloration may completely or partially subside. But judging pulpal status by coronal discoloration can be dangerous and it may lead to unnecessary treatment.

This case presents coronal discoloration and recovery following traumatic injury of maxillary anterior teeth. In diagnosing traumatized teeth routine cold tests or electric pulp tests are known to be unreliable, but with the aid of ultrasound doppler imaging, assessing pulp vitality of traumatized teeth can be more accurate.

References

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Article information Continued

Figure 1

Periapical view at the first exam and after tooth reduction.

Figure 2

Periapical view and clinical photo at 2 weeks follow-up (discoloration on #21).

Figure 3

Periapical view and clinical photo at 6 weeks follow-up (discoloration on #21).

Figure 4

Ultrasound doppler graphy imaging on #11, 21, 22 (from top).

Figure 5

Periapical view and clinical photo at 6 weeks follow-up (regain the color on #21).