Manajemen Kegawatdaruratan Trauma Gigi Anterior dengan Fraktur Mencapai Pulpa pada Anak Usia 3 Tahun: Laporan Kasus
(The Emergency Management of Anterior Dental Trauma Involving Pulpal Exposure in a Three-Year-Old Child: A Case Report)
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Surya Dinata
Departemen Kedokteran Gigi Anak, Fakultas Kedokteran Gigi, Universitas Kristen Maranatha Bandung, Indonesia
Shelly Lelyana
Departemen Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Kristen Maranatha Bandung, Indonesia
Dian Lesmana
Departemen Fisiologi, Fakultas Kedokteran Gigi, Universitas Kristen Maranatha Bandung, Indonesia
Theodora Adhisty Dwiarie
Departemen Ilmu Penyakit Mulut, Fakultas Kedokteran Gigi, Universitas Kristen Maranatha Bandung, Indonesia
DOI: https://doi.org/10.19184/stoma.v22i2.53737
ABSTRACT
Anterior dental trauma in preschool-aged children is a common emergency condition, frequently resulting from physical impact during daily activities. Complex crown fractures involving the pulp in primary teeth cause a high risk of infection, prolonged pain, psychological disorders, and potential implications for the development of permanent teeth. This article aims to depict the clinical emergency management of a complex crown fracture involving vital pulp in a primary anterior tooth of a 3-year-old child, focusing on behavioral management and selecting an appropriate pulp therapy. A three-year-old girl, accompanied by her mother, complained of a broken upper right front tooth after a fall three days earlier and reported having difficulty eating and often crying suddenly due to a toothache. The management of a complex crown fracture through a vital pulpectomy procedure. The Tell-Show-Do (TSD) distraction technique was obtained before administering infiltration anesthesia and intrapulpal injection. Root canal irrigation was performed using NaOCl and CHX. The root canals were filled with a mixture of Ca(OH)₂ and ZnO, followed by a strip crown. The treatment outcome was successful, including atraumatic pulp extirpation without complications and a cooperative response patient. The management of complex crown fractures in primary teeth in preschool children requires a multidimensional approach, encompassing clinical, psychological, and educational aspects. Vital pulpectomy with optimal pain control, appropriate behavioral management, and parental education is a key factor in achieving successful treatment and a favorable long-term prognosis.
Published
31-10-2025
Issue
Vol. 22 No. 2 2025: Jurnal Stomatognaticic
Pages
120-124
License
Copyright (c) 2025 Jurnal Stomatognatic
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