Crown Fracture Case and Complications

Abstract

When the treatment of dental trauma cases is late, success decreases and complicated approaches are needed. This case report aims to present the problems encountered in the late intervention of the uncomplicated crown fracture, treatments applications and results of 1-year follow-up. In the intraoral examination of an eight-year-old male patient who applied to our clinic there was an uncomplicated crown fracture in the permanent left upper incisor. Radiological examination showed that the root development of the tooth is incomplete and there was a lesion in the apical region. Root canal treatment was started immediately and calcium hydroxide was placed in the root canal. 2 weeks later a triple antibiotic paste was placed for 2 weeks for disinfection of the root canal. At the next appointment, it was taken a culture sample after placing a drain in the root canal due to recurrent infection and drainage. Following the discontinuation drainage, the drain was removed, calcium hydroxide was placed for 2 more weeks, and the permanent filling was completed by Mineral Trioxide Aggregate. In the dental volumetric tomography taken due to the mobility of the relevant tooth, severe hard tissue loss was observed and then apical resection procedure was applied by applying splint. No pathological condition was observed in the follow-up periods of 3, 6 and 12 months, and hard tissue formation was observed on the received radiography. It is very important to inform patients and their families about post-traumatic treatment approaches.