Clean the area with water spray, saline, or cholrhexidine
disinfect with sodium hypochlorite or Peridex®
Apply pulp capping material (calcium hydroxide compound or white mineral trioxide aggregate (MTA))
Seal exposed dentin with glass ionomer cement or composite resin
Restore with composite resin
Follow-up: clinical and radiographic controls after 6-8 weeks and 1 year
In young patients with open apices, it is very important to preserve pulp vitality by pulp capping or partial pulpotomy in order to secure further root development. This treatment is also the treatment of choice in patients with closed apices. Calcium hydroxide compounds and MTA (white) are suitable materials for such procedures.
In older patients with closed apices and an associated luxation injury with displacement, root canal treatment is usually the treatment of choice.