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

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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.

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.