Enamel-dentin-pulp fracture (complicated crown fracture) - Treatment Guidelines


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Treatment

If possible, preserve pulp vitality by partial pulpotomy. Calcium hydroxide is a suitable material for such procedures. A well-condensed layer of pure calcium hydroxide paste can be applied over the pulp, covered with a lining such as reinforced glass ionomer. Restore the tooth with composite.

The treatment is depending on the child's maturity and ability to cope. Extraction is usually the alternative option.

Follow-up

Clinical after 1 week. Clinical and radiographic control after 6-8 weeks and 1 year.

Dental Trauma Guide 2010 - produced in cooperation with the Resource Centre for Rare Oral Diseases and Department of Oral and Maxillo-Facial Surgery
at the University Hospital of Copenhagen - Last edited the 07-01-2014.