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Histologic Analysis of Not-Exposed Dental Pulp Tissue after Traumatic Lesions $43.00
Authors:  Claudia Dellavia, Fabiana Orlando, Maurizio Colombo, Massimo Gagliani and Chiarella Sforza
Abstract:
Purpose: This report analyzed the histologic modifications of pulp tissue in three permanent maxillary incisors with a traumatic crown fracture.
Methods: All teeth showed no pulp exposure and were therefore reconstructed using a light-cured composite. After three months, the sensitivity tests gave no response and a pulpectomy was performed. The pulp tissue was extracted and prepared for histologic examination.
Results: In case 1 a normally organized pulp tissue with a reduced number of pulp cells, an increased amount of collagen fibers and irregular calcifications were observed. Case 2 displayed signs of tissue degeneration: several scattered calcifications, increased vascularization and polymorphonuclear leucocytes infiltration. In case 3 a colliquative necrosis involved several portions of the pulp. No stained bacterial colonies were evidenced in the three specimens.
Clinical significance: Uncomplicated crown fractures can lead to different degrees of pulp degeneration few months after mechanical trauma, thus recommending a frequent monitoring to provide a preservative dental care. 


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Histologic Analysis of Not-Exposed Dental Pulp Tissue after Traumatic Lesions