skip to main content

Cvek Pulpotomy Open Apex — NDEB AFK MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePaediatric DentistryCvek Pulpotomy Open ApexNDEB AFK

Which of the following is the most appropriate treatment for a 7-year-old with a maxillary permanent central incisor that has a complicated crown fracture (Ellis Class III) with pulp exposure and an open apex?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Partial pulpotomy (Cvek) with MTA

For a young permanent tooth with an open apex and vital pulp exposure, the Cvek partial pulpotomy is the treatment of choice. It preserves pulp vitality, which is essential for continued root development (apexogenesis). MTA or biodentine is placed over the amputated pulp. This allows completion of root development with a normal apex. If the pulp becomes necrotic later, revascularisation or apexification can be performed.

Reference: IADT – Guidelines for Management of Traumatic Dental Injuries, 2020