A 9-year-old female patient reported fractured teeth due to trauma. Clinical examination and radiographs revealed Ellis class III fracture of tooth #21 and Ellis class II fractures of teeth #11 and #12 with mild mobility. The treatment plan included splinting teeth #53 to #63, performing a Cvek pulpotomy with mineral trioxide aggregate on tooth #21, and placing light-cure resin restorations on teeth #11 and #12. The treatment was carried out with isolation using an OptraDam and resulted in successful pulpotomy and restorations.

1. Case 1
CVEK PULPOTOMY WITH
MTA

2. • A 9 year old female
patient reported to the
outpatient department of
Pedodontics and
Preventive Dentistry,
with the chief complaint
of fractured teeth due to
trauma, 4 hours ago.

3. • M/H: Non contributory
• O/E: Ellis class III # of 21
Ellis class II # of 11,12
1degree mobility of
11 and 21
Intra oral periapical
radiograph confirm the
same.

4. TREATMENT PLAN :
• Splinting of 53 to 63
• Cvek pulpotomy of 21 with MTA and
• Light cure resin restoration of 11 and 12

5. Isolation done with Optra
dam
Splinting done and access cavity
prepared,

6. MTA dispenses on glass slab
Haemostasis achieved, followed by MTA
placement on 21 . The MTA was covered
by LC composite.

7. Immediate Post operative
after removal of Optra dam.
Immediate Post-operative
IOPAR

8. Pre-operative view Post operative view
after one month