Crown reattachment is the most conservative treatment which can be used to restore fractured tooth, presumably with sufficient strength, while maintaining original contour, incisal translucency, and reducing chair time and cost.

However, in case of crown fracture with pin-point pulp exposure, we should cautiously minimize the irritation to the pulp and consider pre-treatment pulpal status, choice of pulp capping materials, choice of bonding system and treatment sequence during crown reattachment procedures. This case reports the considerations while crown reattachment with direct pulp capping using calcium hydroxide (Dycal, Dentsply Caulk).

Citations

Citations to this article as recorded by  

• A Conservative Approach to the Management of a Dental Trauma for Immediate Natural Esthetics
  Pallav Mahesh Patni, Pradeep Jain, Mona Jain Patni
  Archives of Trauma Research.2016;[Epub]     CrossRef

Regenerative endodontics has a potential to heal a partially necrotic pulp, which can be beneficial for the continued root development and strengthening of immature teeth. For this purpose, triple antibiotic mixture of ciprofloxacin, metronidazole, and minocycline was recommended as intracanal medicament in an attempt to disinfect the root canal system for revascularization of a tooth with a necrotic pulp. However, discoloration of the tooth was reported after applying this. This case shows the idea for preventing the tooth discoloration using a delivery syringe (SW-O-01, Shinwoo dental) to avoid the contact between the clinical crown and the antibiotics.

Citations

Citations to this article as recorded by  

• Non-surgical Management of a Large Periapical Lesion: A Case Study of the Successful Application of a Modified Triple Antibacterial Paste
  Srushti Awghad, Joyeeta Mahapatra, Amit Reche, Ankita Burse, Aradhana Kibe
  Cureus.2024;[Epub]     CrossRef
• Evaluation of the antimicrobial efficacy of two combinations of drugs on bacteria taken from infected primary teeth (in vitro)
  R. Rafatjou, R. Yousefimashouf, M. Farhadian, S. Afzalsoltani
  European Archives of Paediatric Dentistry.2019; 20(6): 609.     CrossRef
• Triple antibiotic paste: momentous roles and applications in endodontics: a review
  Ardavan Parhizkar, Hanieh Nojehdehian, Saeed Asgary
  Restorative Dentistry & Endodontics.2018;[Epub]     CrossRef
• Clinical Effectiveness of Different Polishing Systems and Self-Etch Adhesives in Class V Composite Resin Restorations: Two-Year Randomized Controlled Clinical Trial
  J-H Jang, H-Y Kim, S-M Shin, C-O Lee, DS Kim, K-K Choi, S-Y Kim
  Operative Dentistry.2017; 42(1): 19.     CrossRef
• Revascularization of Necrotic Immature Permanent Teeth: An Update
  N Velmurugan
  Journal of Operative Dentistry & Endodontics.2016; 1(1): 18.     CrossRef
• Treatment of non-vital immature teeth with amoxicillin-containing triple antibiotic paste resulting in apexification
  Hyon-Beom Park, Bin-Na Lee, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh, Hoon-Sang Chang
  Restorative Dentistry & Endodontics.2015; 40(4): 322.     CrossRef