Pulpotomy In Young Permanent Teeth With Complicated Crown Fracture

The purpose of this case report was to describe a young permanent tooth with complicated crown fracture treated by Pulpotomy and coronal fragment reattachment, the root development was observed for 6 years. We report a case of complicated crown fracture in a 9-years-old boy who was fall down to the ground. Clinical examinations revealed complicated crown fracture of tooth 11 and subluxation of tooth 21. A crown fracture in the mid- crown but no obvious root fracture and the apical foramen was not closed of tooth 11 were noted on radiographs. After disinfection and local anesthesia, Pulpotomy were performed, and the fractured crown was restored and the teeth were prepared to para-bonding. Finally, the whole dentition pad was used for 2weeks.Esthetics and root development were recovered with a 6-year follow-up period. Pulpotomy in young permanent teeth with complicated crown fracture (exposed pulp) has been considered as a reliable procedure. Preserving the root pulp make the root continue to develop. And coronal fragment reattachment is a well transitional repair method. Pulpotomy and coronal fragment reattachment were recommended for the treatment of young permanent teeth with complicated crown fracture, it can restore children's chewing and pronunciation functions.