Vital Pulp Therapy in Tooth with Complicated Crown Fracture

Jennifer Palacios Pereira; Antonio Rodríguez Vega; André Latapiat Parodi; Montserrat Mercado Vivallos & Camila Corral Núñez

Summary

Crown fracture is the most frequent dental traumatic injury (DTI) in permanent dentition. When there is pulp exposure, it is known as a complicated crown fracture. Currently, in these cases, it is recommended to carry out therapies that allow preserving the vitality of the pulp tissue, both in mature and immature teeth. This report describes the case of a 9-year-old patient with a complicated crown fracture in tooth 2.1, who underwent treatment with vital pulp therapy (Cvek pulpotomy), and adhesion of the dental fragment. In follow-up sessions (after 1 week, 4 months, 1 and 2 years), the tooth was asymptomatic. It was observed dentin bridge formation and the continuation of root development with apical closure, indications that the pulp tissue has remained vital. In this case, the importance of proper diagnosis and treatment is highlighted, together with the follow-up of a tooth with incomplete root development.

KEY WORDS: crown fracture, Cvek pulpotomy, vital pulp therapy, dental traumatic injuries.

How to cite this article

PALACIOS, P. J.; RODRÍGUEZ, V. A.; LATAPIAT, P. A.; MERCADO, V. M. & CORRAL, N. C. Vital pulp therapy in tooth with complicated crown fracture. Int. J. Odontostomat., 16(4):463-467, 2022.