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References

Cvek M. A clinical report on partial pulpotomy and capping with calcium hydroxide in permanent incisors with complicated crown fracture. J Endod. 1978; 4:232-237
Lilleker R. Technique Tips – Traumatized Fractured Incisors: Re-attachment of the Fragment. Dent Update. 2017; 44:164-165
Fong C, Davis M. Partial pulpotomy for immature permanent teeth, its present and future. Pediatr Dent. 2002; 24:29-32
Cohen S, Hargreaves K., 1st edn. St Louis, Mo: Mosby Elsevier; 2006
de Blanco L. Treatment of crown fractures with pulp exposure. Oral Surg Oral Med Oral Pathol. 1996; 82:564-568

Technique tips: a complicated crown fracture: the Cvek pulpotomy

From Volume 44, Issue 11, December 2017 | Pages 1096-1097

Authors

Olivia Barratt

5th Year Student, University of Manchester, Higher Cambridge Street, M14 6FH, UK

Articles by Olivia Barratt

Carly C Dixon

BDS(Ncl), MFDS RSC(Glas)

Clinical Lecturer/StR in Paediatric Dentistry, University of Manchester, Higher Cambridge Street, M14 6FH, UK

Articles by Carly C Dixon

Siobhan M Barry

BDS, NUI(Cork), MFDS RCS(Dub), MPaedDent(Glasg), DClinDent(University of Leeds), FDS(Paed Dent), RCPS(Glasg)

Senior Lecturer/Honorary Consultant in Paediatric Dentistry, University of Manchester and University Dental Hospital Manchester, Higher Cambridge Street, M14 6FH, UK

Articles by Siobhan M Barry

Article

The Cvek pulpotomy is a useful technique for the management of a complicated crown fracture of vital incisors with open or closed apices. It involves removing 1–3 mm of inflamed pulp, leaving the healthy vital cell-rich pulp to aid healing post trauma. If haemostasis is achieved, the tooth can be dressed and restored to normal function with good prognosis. Miomir Cvek pioneered this approach and found a 96% success rate for teeth treated up to 90 days after trauma with 1–4 mm exposures.1

Trauma may be stressful for patient and clinician alike. Yet this is a simple, inexpensive and relatively quick way of ensuring a tooth has the best prognosis following traumatic injury. It does not involve specialist equipment and uses materials found in everyday general dental practice. This method could be used with reference to February's Technique Tip: ‘Traumatized fractured incisors: re-attachment of the fragment’.2

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