IADT treatment guidelines for crown-root fracture with pulp involvement
- Fracture involves enamel and dentin and the pulp is exposed.
- The stage of root development can be determined from one exposure.
- 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.
- 1 week – Clinical examination.
- 6-8 weeks – Clinical and radiographic examination.
- 1 year – Clinical and radiographic examination.