Bioceramic Pulpotomy and Direct Pulp 
Capping on Complicated Fractures 
Reattachment of Young Mature 
Permanent Teeth: Case Series

Objective Complicated crown fractures of anterior permanent teeth, typically caused by traumatic injuries, are commonly encountered and require focused treatment. Prioritizing the preservation of pulp vitality is crucial, with an emphasis on maintaining it rather than resorting to a pulpectomy after pulp exposure. Case Report Two patients presented to the department due to trauma, and examination revealed a complicated crown fracture in tooth #21 and tooth #11. A partial pulpotomy and pulp capping were conducted using two different bioceramic materials as the medicament, and 2.5% sodium hypochlorite was utilized for hemostasis. The tooth was subsequently restored with the separated tooth fragment using adhesive bonding, and follow-up appointments were scheduled at 3, 6, and 18 months. Conclusion Vital pulp therapy serves as a viable substitute for root canal treatment in traumatized anterior teeth with pulp exposure. Bioinert (bioceramic material) proves to be a suitable choice for pulpotomy, fostering the formation of a dentin bridge, thereby maintaining the vitality of the remaining pulp portions. Clinical Significance Preserving the vitality of teeth is of paramount importance, as the vital pulp not only nourishes dentin but also generates reparative dentin in response to stimuli. The use of biocompatible materials offers numerous advantages, including enhanced esthetics, preservation of vitality, regenerative potential, and easy handling—all notable features of these innovative bioinert materials.