For a primary crown fracture with pulp exposure, which treatment is described?

Prepare for the American Board of Pediatric Dentistry Oral Boards. Utilize flashcards and multiple-choice questions with hints and explanations to ace your exam!

For a primary tooth with a crown fracture and pulp exposure, the goal is to preserve pulp vitality and the tooth’s natural function. A partial pulpotomy is chosen because it removes only a small amount of the inflamed coronal pulp, allows hemostasis, and protects the remaining healthy pulp tissue, supporting continued root development and eruption of the permanent tooth. After removing the affected tissue, placing a biocompatible material over the pulp and sealing it well helps healing; restoring with glass ionomer and resin provides a durable seal and good bonding to the tooth structure. This approach avoids more invasive options like root canal therapy or extraction when the tooth is restorable and the pulp response is favorable. If pulpal inflammation were extensive or signs of necrosis appeared, alternative treatments would be indicated, but with a clean exposure and controlled bleeding, this pulpotomy strategy is preferred.