Children (Aug 2021)

Conservative Treatment of Complicated Crown Fracture and Crown-Root Fracture of Young Permanent Incisor—A Case Report with 24-Month Follow-Up

  • David Marinčák,
  • Vojtěch Doležel,
  • Michal Přibyl,
  • Iva Voborná,
  • Ivo Marek,
  • Jiří Šedý,
  • Radovan Žižka

DOI
https://doi.org/10.3390/children8090725
Journal volume & issue
Vol. 8, no. 9
p. 725

Abstract

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The complicated crown-root fracture of young permanent teeth is an uncommon traumatic dental injury that is usually treated in a complex way and is demanding not only for the dentist but even for the treated child. In this case report, we present the conservative treatment of a maxillary central incisor in a 10-year-old boy after a traumatic dental injury. Treatment included partial pulpotomy and adhesive fragment reattachment after reflection of the mucoperiosteal flap. The patient was fully asymptomatic at 24-month follow-up, with an aesthetically acceptable outcome. Vital pulp therapy and adhesive fragment reattachment can be a viable treatment option for complicated crown-root fractures, especially when treating immature permanent teeth.

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