Enamel-dentin-pulp fracture (complicated crown fracture) - Treatment Guidelines
The treatment animation above has still not been updated to the 2012 IADT guidelines. The guidelines
shown below are however in accordance with the new set of IADT guidelines.
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.
Clinical after 1 week. Clinical and radiographic control after 6-8 weeks and 1 year.