IADT treatment guidelines for enamel-dentin-pulp fracture


Clinical findings

  • Fracture involves enamel and dentin and the pulp is exposed.

Radiographic findings

  • 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.