Total Pulpotomy Using a Newer Mineral Trioxide Aggregate for Managing Complicated Crown Fractures in Mature Permanent...

Crown fractures with pulp exposure in mature permanent teeth present a challenging situation that requires immediate attention. Mineral trioxide aggregate (MTA) as a sealing material after pulpotomy has proven to be a reliable treatment in these cases compared to traditional root canal therapy. This case report emphasizes the importance of early diagnosis and careful treatment planning for complicated crown fractures and concussion injuries in a mature permanent incisor of a young child. Total pulpotomy using MTA has proven to be an effective treatment for fractures in young mature incisors with pulp exposure, as evidenced by a one-year follow-up in our case, which showed no discoloration.