Vital Pulp Therapy in Traumatic Crown Fractures: A Modern Clinical Guide

Vasudha Chathley · Dakshita Joy Sinha · Prem Prakash · Pratishtha Tanwar

Mar 2026 · Cambridge Scholars Publishing

Ebook

139

Pages

Eligible

About this ebook

Traumatic crown fractures with pulpal involvement represent a critical clinical scenario, particularly in young patients with immature permanent dentition. Preserving pulp vitality in these cases is not only essential for continued root development but also vital for long-term tooth survival and structural integrity. This review critically evaluates the role of vital pulp therapy (VPT) as a biologically sound and minimally invasive treatment modality in the management of complicated crown fractures. Emphasis is placed on techniques such as direct pulp capping, partial pulpotomy (Cvek pulpotomy), and full pulpotomy, with a focused discussion on their clinical indications, success rates, and outcome predictability.

The manuscript integrates current evidence on advanced bioactive materials including mineral trioxide aggregate (MTA), Biodentine, and newer regenerative agents that enhance pulpal healing and dentinogenesis. Special attention is given to recent trends in pulp biology, the impact of timely intervention, and diagnostic considerations influencing therapeutic success. Through a synthesis of contemporary literature and clinical data, the review supports the growing consensus that VPT offers a superior, cost-effective alternative to conventional root canal therapy in select trauma cases.

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About the author

Dr Vasudha Chathley is a compassionate second year postgraduate student in the department of Conservative Dentistry and Endodontics, dedicated to delivering quality dental care across diverse populations. A BDS graduate from Bharati Vidyapeeth’s Dental College and Hospital, India, she combines clinical proficiency with a strong passion for public service.

Dr Dakshita Joy Sinha is a distinguished Professor and Head of the Department of Conservative Dentistry and Endodontics at Inderprastha Dental College, Ghaziabad, India. With over 15 years of academic experience and more than 70 publications in national and international journals, she is a passionate educator, clinician, and researcher.

Dr Prem Prakash is an accomplished academician in the field of dentistry with over five years of teaching experience. He completed his Master’s degree in 2016 and has since been dedicated to both education and research. Dr Prakash served as a lecturer for four years before being appointed as a Reader in August 2023.

Dr Pratishtha Tanwar is a dedicated dental professional with four years of teaching experience in both government and private institutions. She is currently serving as a Senior Lecturer at Inderprastha Dental College, where she continues to contribute to academic and clinical excellence.

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