Management of Complicated Crown Fractures in Vital Immature Incisors

Dental trauma is one of the most serious oral conditions especially among children. It frequently occurs in children from 6 to 13 years old, often involving teeth with incomplete root formation. The most common dental injury at this age is crown fracture.

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To provide this clinical guide, Pubmed and Scopus were searched using the following keywords: Immature, Incisor and Pulpotomy. More importantly, the latest clinical guidelines provided by the International Association for Dental Traumatology, British Society of Paediatric Dentistry, and the Royal College of Surgeons of England and National Institute for Health and Care Excellence were studied and incorporated into this paper (Grade 1 evidence).

Management of a young patient who has sustained such trauma includes a wide range of options based on the clinical and radiographic findings. Here we explain in detail the latter as well as covering available literature and guidelines.