Endodontics · single question

An 8-year-old broke a permanent maxillary central incisor (#8). The tooth is vital with an open apex. What treatment should the dentist perform?

  1. Apexification
  2. Apexogenesis (pulp capping/pulpotomy)
  3. Immediate RCT
  4. Extraction
Show answer and explanation

Correct answer: B. Apexogenesis (pulp capping/pulpotomy)

With a VITAL pulp and open apex, apexogenesis is indicated — partial pulpotomy (Cvek technique) to preserve vitality and allow continued root development (apexogenesis). Apexification is for NECROTIC teeth with open apex. RCT would kill the pulp and stop development. Extraction is a last resort. Vital pulp = apexogenesis.

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