CASE REPORT
Management of crown fractures of permanent teeth
– diagnosis and treatment
More details
Hide details
1
Department of Oral Surgery, Medical University of Gdańsk, Gdańsk, Poland, Polska
2
Depratment of Paediatrics Dentistry, Medical University of Gdańsk
3
Department of Dental Prosthetics, Medical University of Gdańsk
4
Department of Orthodontics, Medical University of Gdańsk
Submission date: 2024-09-23
Final revision date: 2024-10-20
Acceptance date: 2025-03-10
Publication date: 2025-03-16
Corresponding author
Paulina Adamska
Department of Oral Surgery, Medical University of Gdańsk, Gdańsk, Poland, Polska
Prosthodontics 2025;75(1):26-37
KEYWORDS
TOPICS
ABSTRACT
Fractures of crowns of permanent teeth most
often occur among children aged 8-10 years, and
are more common in boys. Protruding maxillary
incisors are particularly vulnerable to damage
in children with increased overjet, Angle’s Class
II malocclusion and reduced muscle tone (e.g.
lip incompetence). These are conditions that
require immediate treatment due to the risk of
complications or even failure during subsequent
treatment. Treatment is often multi-specialist and
thus requires the cooperation of a paedodontist,
orthodontist, prosthodontist and oral surgeon.
The therapeutic priority is to restore function
and aesthetics and to shape the correct growth
of adolescent patients. Post-traumatically,
the patient must remain under observation for many years due to the continuous development
of the stomatognathic system, the need to
monitor possible disorders in the course of bone
growth and the assessment of the condition
of the teeth (ankylosis, pulp necrosis, etc.).
This paper presents a description of three patients
of developmental age who sustained coronal
fractures of their permanent teeth. The importance
of the interview, physical and radiological
examination, as well as diagnostic and therapeutic
procedures in various types of injuries to the
crowns of permanent teeth, has been discussed.
Dental injuries and their consequences can
negatively impact the aesthetics, function and
development of the stomatognathic system, as
well as the child’s psychological and emotional
development. Proper treatment of crown fractures
provides a chance for a favourable, long-term
dental prognosis.