Case Report: Management of Fractures in Anterior Teeth among Adolescents

Abstract

The occurrence of fractures in permanent anterior teeth among adolescents, resulting from trauma, can lead to both aesthetic and functional deficits, as well as complications involving the pulp if not addressed in a timely manner. This case report examines the management of a maxillary left lateral incisor in a 13-year-old female patient who experienced a crown fracture due to a fall three years prior. A clinical assessment indicated a fracture extending through the enamel and dentin, with only the cervical third of the crown remaining intact. Tests for vitality and cavity responses returned negative results, while radiographic analysis indicated involvement of the pulp chamber and widening of the periodontal ligament. The diagnosis for the maxillary left lateral incisor was established as pulp necrosis accompanied by asymptomatic apical periodontitis. The treatment protocol included performing a root canal therapy followed by the insertion of a fiber post, a composite core build-up, and concluding with the placement of a porcelain fused-to-metal (PFM) crown. This treatment underscores the efficacy of a well-executed endodontic and restorative approach in preserving traumatized teeth, thereby restoring function and enhancing aesthetics in adolescent patients.