Enamel-dentin-pulp fracture (complicated crown fracture) - Treatment Guidelines
Treatment
In very young children with immature, still developing roots, it is advantageous to preserve pulp vitality by pulp capping or partial pulpotomy. This treatment is also the choice in young patients with completely formed roots. Calcium hydroxide is a suitable material for such procedures. Both treatments should be considered whenever possible, otherwise extraction is indicated.
A dentin bridge is expected to be seen on a radiograph within 4-6 weeks.
In young children with immature, still developing roots and thin radicular
dentin walls cervical pulpotomy may not be possible due to risk of perforation,
and the tooth will have to be extracted.
Follow-up
Clinical after 1 week. Clinical and radiographic control after 6-8 weeks and 1 year.