Management of Complicated Crown Fractures of Maxillary Central Incisors with Pulpal Involvement: A Case Report
DOI:
https://doi.org/10.54361/LJMR.20.3.107Keywords:
Traumatic dental injury, Complicated crown fracture, Pulp exposure, Maxillary central incisors, Root canal treatment, Composite resin restorationAbstract
Traumatic dental injuries frequently affect the maxillary central incisors and may result in complicated crown fractures involving pulp exposure. These injuries require prompt diagnosis and appropriate management to prevent pulpal and periapical complications while restoring the affected teeth's function and esthetics. This case report describes the management of traumatic complicated crown fractures involving both maxillary central incisors in a 10-year-old male patient following a fall. Clinical and radiographic examinations revealed enamel–dentin fractures with pulp exposure involving teeth 11 and 21. Radiographic assessment demonstrated completed root development with closed apices. Following clinical assessment and treatment planning, endodontic treatment was performed on both affected teeth. The root canals were prepared using a rotary instrumentation technique, irrigated with 2.5% sodium hypochlorite, and obturated with gutta-percha in combination with a bioceramic root canal sealer. Subsequently, the teeth were restored using direct adhesive composite resin to re-establish their anatomical form, function, and esthetic appearance.The patient was followed up for six months to monitor the clinical and radiographic status of the treated teeth and the integrity of the restorations. [Insert the documented six-month clinical and radiographic findings.]This case highlights the importance of early diagnosis, appropriate treatment selection, effective infection control, and adhesive restorative techniques in managing traumatic crown fractures of permanent anterior teeth. It also emphasises the importance of assessing root development and documenting the pulpal condition when selecting an appropriate treatment approach.
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References
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