CROWN FRACTURE TREATED WITH REATTACHMENT: A CASE REPORT

Aim: Crown fractures are common traumatic dental injuries, particularly affecting maxillary incisors, while they are relatively rare in mandibular incisors. Depending on whether the pulp is involved, these fractures are classified as complicated or uncomplicated. It has been reported that crown fractures constitute approximately 26% to 76% of all traumatic injuries in permanent teeth. Treatment approaches aim to preserve pulp vitality and to restore the tooth in a way that ensures both optimal function and esthetics.

Case Presentation: A 7-year-old systemically healthy female patient presented to our clinic 15 hours after falling off a bicycle onto an asphalt surface, complaining of a fractured upper front tooth. Clinical examination revealed laceration, swelling, and sutures on the upper lip, along with bleeding in the sulcus of tooth #11 and a complicated crown fracture. Radiographic evaluation showed that the fracture line involved the pulp and that the apex was still open. Since there were no signs of pulpal pathology, a Cvek pulpotomy was performed using Biodentine (Septodont, France). The fractured fragment was stored in saline solution and subsequently reattached using the fragment reattachment technique. No clinical or radiographic pathology was observed during follow-up appointments at 6 and 12 months.

Result: The primary goal in managing dental trauma in young permanent teeth should be the preservation of pulp vitality. The fragment reattachment technique is a viable treatment option that offers advantages in terms of esthetics, function, and cost-effectiveness, as it maintains the natural anatomical form, surface morphology, and color of the tooth over time.

Keywords: Trauma, Reattachment, Pediatric Dentistry