What is the recommended treatment for a 9-year-old with fractured crowns and exposed pulps on teeth #8 and #9?

The recommended treatment for a 9-year-old with fractured crowns and exposed pulps on teeth #8 and #9 is a Cvek pulpotomy with composite restorations. This approach is ideal because it addresses the immediate issue of pulp exposure while preserving as much of the vital pulp tissue as possible.

In pediatric dentistry, when dealing with fractures that involve the pulp in primary or young permanent teeth, the goal is to maintain pulp vitality. A Cvek pulpotomy is a vital pulp therapy procedure where the exposed portion of the pulp is carefully removed, and the remaining healthy pulp is treated and preserved. This technique promotes healing and can help prevent further complications while ensuring the tooth remains functional until it is naturally lost or replaced when the child matures.

Composite restorations following the pulpotomy provide a suitable means of sealing the tooth while also restoring its function and aesthetics. This treatment is particularly important for anterior teeth like #8 and #9, as these teeth are crucial for both proper dental alignment and the child's appearance.

Other treatment options, while they may address certain aspects of dental injury in children, would not provide the same balance of preserving vital pulp function and maintaining the integrity of the tooth structure in a child who still has developing dentition.