TWO DIFFERENT TREATMENT APPROACHES IN COMPLICATED CROWN FRACTURES: A CASE REPORT

📝 Özet

Complicated crown fractures (CCF) involving enamel, dentin, and pulp exposure are among the most commonly encountered traumatic dental injuries during the mixed dentition period, predominantly affecting the maxillary anterior teeth. Early diagnosis and individualized treatment selection are critical for preserving pulp vitality and long-term tooth function. This case report presents two pediatric patients with complicated crown fractures of the permanent maxillary central incisors managed with different treatment modalities based on their clinical and radiographic presentations. In Case 1, a 10-year-old male with an acute complicated crown fracture of tooth 21, presenting with vital pulp response and an intact periapical region, was treated with partial pulpotomy using mineral trioxide aggregate (MTA), followed by reattachment of the fractured fragment. In Case 2, a 12-year-old male presenting one week post-trauma with a non-vital pulp and an established periapical radiolucency in tooth 11 underwent root canal treatment, followed by composite restoration using the strip crown technique. Clinical and radiographic follow-up evaluations at 1, 3, and 6 months revealed no complications in either case. Both treatment modalities demonstrated satisfactory short-term clinical and radiographic outcomes, and both restorative approaches yielded good esthetic results.

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