Trauma to tooth #8
Jon Richards DDS MS
This 21 year old male broke his front tooth (tooth #8) when the handle of the bucket he was lifting gave way and hit him in the mouth. Ouch! The fracture exposed the pulp space resulting in significant sensitivity to air and cold. He was wise to save the fragments of his tooth and he brought them along.
I gave the patient options:
- Preserve the pulp by completing a Cvek Pulpotomy with MTA and rebond the tooth fragment.
- Perform root canal therapy and rebond the piece.
- Extract and replace prosthetically.
The downside of option #1 is a high likelihood of intrinsic discoloration due to the MTA. Ultimately the patient elected option #2: Traditional RCT and rebuilding the tooth using the pieces that were salvaged.
As expected the pulp was vital. Root canal therapy was performed in the usual manner. While still isolated., the fragment was rebonded into place.
This patient was very happy with the result. The color match is perfect because it is his natural tooth