An 8-year-old fractured tooth 1.1 two hours ago. The root is immature, and there is a pinpoint pulp exposure with bleeding, vital pulp tissue. What is the most appropriate pulp treatment?

  • Correct answer

    Partial pulpotomy

  • Pulpectomy and calcium hydroxide apexification

  • Extraction

  • Direct placement of the composite over the exposure without pulp treatment

This question is one of 15 in AFK practice: Endodontics. Test yourself on all of them.

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Explanations

  • IADT guidelines recommend preserving the pulp in immature teeth with complicated crown fractures; partial (Cvek) pulpotomy is preferred because it lets root development continue. Pulpectomy would stop root maturation and is reserved for teeth with a necrotic pulp.

    Source: IADT Guidelines for the Management of Traumatic Dental Injuries: 1. Fractures and Luxations (2020) link — oneguy

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