International Journal of Clinical Pediatric Dentistry

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VOLUME 15 , ISSUE 5 ( September-October, 2022 ) > List of Articles

CASE REPORT

Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol

Deise Kamanski, Julieta G Tavares, Joao BB Weber, Carlos A Feldens, Eduardo G Reston, Patrícia FJS da Cunha, Paulo F Kramer

Keywords : Case report, Composite resins, Computer-aided design, Tooth, Tooth injuries, Unerupted

Citation Information : Kamanski D, Tavares JG, Weber JB, Feldens CA, Reston EG, Cunha PF, Kramer PF. Crown Fracture of an Unerupted Incisor in a Young Child: Case Report and Restorative Protocol. Int J Clin Pediatr Dent 2022; 15 (5):636-641.

DOI: 10.5005/jp-journals-10005-2437

License: CC BY-NC 4.0

Published Online: 30-01-2023

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Aim: This case report describes a protocol for restoring a crown fracture of an unerupted permanent incisor in a child. Background: Crown fractures are an important concern in pediatric dentistry due to the negative impact on oral health-related quality of life (OHRQoL) in children and adolescents resulting from functional limitations as well as consequences related to social and emotional well-being. Case description: An enamel and dentin fracture of the crown of unerupted tooth 11 due to direct trauma is being presented in a 7-year-old girl. The restorative treatment involved minimally invasive dentistry, including computer-aided design (CAD)/computer-aided manufacturing (CAM) technology and direct resin restoration. Conclusion: The treatment decision was essential for maintaining pulp vitality and continued root development, as well as ensuring esthetic and functional results. Clinical significance: Crown fracture of an unerupted incisor may occur in childhood, requiring a long-term clinical and radiographic follow-up. Predictable, positive, and reliable esthetic outcomes can be achieved using CAD/CAM technology combined with adhesive protocols.


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