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The Cvek pulpotomy is a useful technique for the management of a complicated crown fracture of vital incisors with open or closed apices. It involves removing 1−3 mm of inflamed pulp, leaving the healthy vital cellrich pulp to aid healing post trauma. If haemostasis is achieved, the tooth can be dressed and restored to normal function with good prognosis. Miomir Cvek pioneered this approach and found a 96% success rate for teeth treated up to 90 days after trauma with 1−4 mm exposures.1 Trauma may be stressful for patient and clinician alike. Yet this is a simple, inexpensive and relatively quick way of ensuring a tooth has the best prognosis following traumatic injury. It does not involve specialist equipment and uses materials found in everyday general dental practice. This method could be used with reference to February’s Technique Tip: ‘Traumatized fractured incisors: re-attachment of the fragment’.2

Technique tips: a complicated crown fracture: the Cvek pulpotomy