A 9-year-old child comes with Ellis class-III fracture in 11 after 24 hours, what will be the first step of management?
Correct Answer: Take radiograph and Cvek's pulpotomy
Description: Indication and contraindication for pulpotomy
Indications:
Vital tooth with healthy periodontium.
Pain, if present, is neither spontaneous nor persistent.
Tooth which is restorable.
The tooth that possesses at least 2/3rd of its root length.
Hemorrhage from the amputation site is pale red and easy control.
In mixed dentition stage, primary tooth is preferable to a space maintainer.
Contraindications
Evidence of internal resorption.
Presence of interradicular bone loss.
Existence of abscesses or fistula in relation to the teeth.
Radiographic signs of calcific globules seen in the pulp chamber.
Caries penetrating the floor of the pulp chamber.
Tooth close to natural exfoliation.
Category:
Dental
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