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