Dental trauma to the permanent dentition represents the frequent reason for dental treatment. This paper represents the review of different therapeutic procedures and agents for treatment of the complicated crown fractures in permanent dentition. The crown fractures account for the largest majority of dental injuries in the permanent dentition. Pulp response to traumatic crown fractures depends on the extent of traumatic injury, structures involved by trauma, the type of therapeutic procedure and agents used for treatment. Crown fractures with pulp exposure could be successfully treated if proper procedure and agents for pulp dressing are used. The indications, clinical techniques, and prognosis of three types of vital pulp therapy – direct pulp capping (DPP), partial pulpotomy (PP), and cervical pulpotomy in the permanent teeth after traumatic pulp exposure are presented and discussed. Chances for the pulp survival after traumatic exposure are good to excellent. When the pulp exposure is present, the direct pulp capping or partial pulpotomy according to Cvek are procedures of choice. The pulp survival ranges between 88% for the DPP and 94 to 100% for PP. The calcium hydroxide for pulp capping should be preferred as a standard agent with predictable results. Efficient sealing of dentin after pulp capping is crucial for prevention of future bacterial invasion and outcome of treatment. The vital pulp therapies are most predictable in young teeth with traumatic pulp exposure.