LAUSR

Objective This study aims to assess the effectiveness of pulpotomy in treating permanent anterior teeth with complicated crown fractures in children. Additionally, it seeks to analyze the long-term outcomes to inform clinical practices for dental trauma across a wider age spectrum. Methods A total of 126 permanent incisors in 107 patients, aged 7–15 years, diagnosed with complicated crown fractures, were treated with pulpotomy using iRoot BP Plus as the pulp capping agent. The treated teeth underwent clinical assessments at 6–8 weeks, 3 months, 6 months, and 1 year post-treatment, followed by routine oral examinations. Outcomes were determined based on clinical and radiographic criteria assessed by calibrated examiners. Clinical examinations included assessment of root apex formation, mobility, crown color, pulp vitality test, and the presence of abscesses and fistulas. Radiographic examinations included evaluation of periodontal ligament continuity, periapical translucency, dentin bridge formation, and calcification of the pulp chamber and root canal. Results With an average follow-up of 14.1 ± 12.6 months, success rates of 95.2% at 6 months and 90.9% at 12 months were observed. The estimated 2-year survival rate was 94.7% ± 2.7%. Success was independent of factors like gender, root maturation, pulpotomy type, pulp exposure time, and tooth mobility. Seven failures were noted, primarily due to periapical periodontitis. One case of pulp canal obliteration was observed. Conclusion Pulpotomy using iRoot BP Plus shows a high success rate in children with nondisplaced complicated crown fractures in permanent teeth. The prognosis is unaffected by root apex formation or tooth mobility.