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Pediatric Dentistry

How do I manage traumatic pulp exposure of primary tooth in very young children?


This Urgent Care Scenario is presented by the JCDA Oasis Team in Collaboration with Dr. Sahza Hatibovic. It is also available on Oasis Help


  • Upper incisors missing mesial or distal corner of the tooth with pulp exposure.
  • Oral trauma is an unpredictable, painful, and stressful event for the child and family. Behaviour management is crucial: a calm soothing approach by the dental team can minimize stress for the entire family.
  • A child with oral trauma seeing a dentist for the very first time may be uncooperative and may need to see a pediatric dentist.

PE Presentation

PE Investigation

PE Diagnosis

PE Treatment 1

PE Treatment 2.

PE Treatment 3


  1. American Academy of Pediatric Dentistry. AAPD Reference Manual – Clinical guidelines. Guideline on pulp therapy for primary and immature permanent teeth. [Revised 2009; accessed 2012 Oct 17]. Available: www.aapd.org/media/Policies_Guidelines/G_Pulp.pdf.
  2. American Academy of Pediatric Dentistry. AAPD Reference Manual – Clinical guidelines. Guideline on management of acute dental trauma. [Revised 2011; accessed 2012 Oct 17]. Available: www.aapd.org/media/Policies_Guidelines/G_trauma.pdf.
  3. Rodd HD, Waterhouse PJ, Fuks AB, Fayle SA, Moffat MA. Pulp therapy for primary molars.Int J Paediatr Dent. 2006;16(Suppl 1):15-23.
  4. Dummett CO Jr. Dental management of traumatic injuries to the primary dentition. J Calif Dent Assoc. 2000;28(11):838-45.
  5. Copenhagen University Hospital and the International Association of Dental Traumatology (IADT). The dental trauma guide. [Accessed 2012 Oct 17]. Available:www.dentaltraumaguide.org.

Do you need further information on this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca

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1 Comment

  1. Dr. Sahza Hatibovic is amazing! Thank you for the current refresher on traumatic pulp exposure in the very young.


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