NDEB 2014 PAGE 400 Q4

Q4) A 7 year old patient presents with a fracture of the crown of a permanent
maxillary central incisor that occurred 2 hours ago. The incisal half of the crown is
missing, resulting in a 3mm exposure of vital pulp. What is the most appropriate
initial management for this tooth?
A. Apexification.

B. Apexogenesis.

C. Pulp capping.

D. Pulpectomy.

Answer: C Pulp Capping.

As the trauma occurred just 2 hours earlier and there is enough tooth structure
remaining, it is possible to pulp cap the tooth.
Historically, the Ellis and Davey classification of crown fractures is useful in
recording the extent of damage to the crown.7 The following is a modification of
their classification (Fig. 21-3):
Class ISimple fracture of the crown involving little or no dentin

Class IIExtensive fracture of the crown involving considerable dentin but not the
dental pulp
Class IIIExtensive fracture of the crown with an exposure of the dental pulp

Class IVLoss of the entire crown