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<p>Dental trauma in children and adolescents, particularly affecting the maxillary central incisors, is common. Factors such as an increased overjet and certain sports activities elevate the risk of trauma. Early and targeted diagnosis and treatment are crucial for tooth preservation. The following case report describes the management of a 16-year-old female patient who sustained a complicated enamel–dentin fracture of teeth 11 and 21 due to a sports-related accident. The patient belonged to the high-risk group for anterior dental trauma due to her increased overjet. In the first session, a partial pulpotomy was performed, followed by composite restoration of both teeth 3 months later. One year posttreatment, the patient remained asymptomatic. Partial pulpotomy has proven to be a successful method for preserving pulp vitality after complicated crown fractures. Composite restorations in crown fractures represent a promising treatment option, especially in cases where jaw growth is not yet complete. Continuous follow-up, including clinical and radiographic assessments, is essential for long-term success.</p>

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Management komplizierter Kronenfrakturen der oberen mittleren Inzisivi bei ausgeprägtem Overjet

  • 期刊论文

  • 发表日期：

    2026年1月16日

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  • Defran Ercan,
  • Till Dammaschke

摘要

Dental trauma in children and adolescents, particularly affecting the maxillary central incisors, is common. Factors such as an increased overjet and certain sports activities elevate the risk of trauma. Early and targeted diagnosis and treatment are crucial for tooth preservation. The following case report describes the management of a 16-year-old female patient who sustained a complicated enamel–dentin fracture of teeth 11 and 21 due to a sports-related accident. The patient belonged to the high-risk group for anterior dental trauma due to her increased overjet. In the first session, a partial pulpotomy was performed, followed by composite restoration of both teeth 3 months later. One year posttreatment, the patient remained asymptomatic. Partial pulpotomy has proven to be a successful method for preserving pulp vitality after complicated crown fractures. Composite restorations in crown fractures represent a promising treatment option, especially in cases where jaw growth is not yet complete. Continuous follow-up, including clinical and radiographic assessments, is essential for long-term success.