Crown Fracture Complicated
An enamel-dentin fracture with pulp exposure.
Treatment
Primary teeth: Decisions often are based on life expectancy of the traumatized primary tooth and vitality of the pulpal tissue. Pulpal treatment alternatives are pulpotomy, pulpectomy, and extraction.
Permanent teeth: Pulpal treatment alternatives are direct pulp capping, partial pulpotomy, full pulpotomy, and pulpectomy (start of root canal therapy). There is increasing evidence to suggest that utilizing conservative vital pulp therapies for mature teeth with closed apices is as appropriate a management technique as when used for immature teeth with open apices.
Permanent teeth: Pulpal treatment alternatives are direct pulp capping, partial pulpotomy, full pulpotomy, and pulpectomy (start of root canal therapy). There is increasing evidence to suggest that utilizing conservative vital pulp therapies for mature teeth with closed apices is as appropriate a management technique as when used for immature teeth with open apices.