Endodontics · single question
An 8-year-old patient presents with an uncomplicated crown fracture (Ellis Class 1) — only a small piece of enamel is chipped, with no dentin exposure and a positive vital pulp response. What is the most appropriate treatment?
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Correct answer: C. Enameloplasty (smoothing and polishing) or composite resin restoration
Ellis Class 1 fracture involves ENAMEL ONLY — no dentin, no pulp exposure, vital pulp response. Appropriate treatment: If fracture is small with a smooth edge — enameloplasty (smoothing/rounding the sharp edge to prevent soft tissue irritation) is sufficient. If the fractured piece is available, it can be rebonded. If there is an esthetic concern or a larger enamel defect, composite resin restoration is indicated. Pulpotomy is reserved for Ellis Class 3 (pulp exposure in immature teeth). Direct pulp cap is for very small, FRESH pulp exposures. Root canal treatment is NOT indicated for an enamel-only fracture with a confirmed vital pulp. Memory aid: Ellis Class 1 = enamel only → smooth or restore; Class 2 = enamel + dentin → dentin coverage + restoration; Class 3 = pulp exposed → vital pulp therapy or RCT based on apex maturity.