Treatment of crown fractures with pulp exposure

Thirty permanent incisors with vital pulps and complicated crown fractures were treated by a partial pulpotomy (Cvek technique). This consisted of amputation of 1 to 2 mm of the exposed pulp, placement of calcium hydroxide powder, and a temporary restoration. Clinical and radiographic assessment of the hard tissue barrier was done after 3 months and again after 1 to 8 years. The treatment was successful in all incisors. No differences were found in stage of root development, size of exposure, and length of time exposed. In conclusion, the partial pulpotomy technique is a successful and permanent treatment for crown fractures with pulp exposure regardless of the size of exposure, the maturity of the root, or the interval between accident and dental treatment.