The Management of Complicated Crown Fracture of Anterior Primary Teeth


  • Puji Kurnia Department of Pediatric Dentistry, Faculty of Dentistry of Andalas University, Padang



Complex crown fractures, Primary teeth.


Background: Injury in the primary teeth and their supporting structures is one of the most common dental health problems observed in children. Injuries in children occurred from an external forces which classified in to dental emergency treatment in pediatric growth and development. A child is perceived to be in a dynamic state of growth, both mentally and physically. Curiosity about surrounding environment and urging to explore may lead to dental injuries. A vital pulpectomy and continued selection of an appropriate restoration after a traumatic injury can mentain the primary tooth in its arch until the time of exfoliation. Purpose: Reported the management of complicated crown fractures in the upper left primary teeth. Case Report: This report presented a 2 years old boy with complicated crown fracture on the upper left primary teeth. The parents gave the history of trauma related to front region of the jaw and they wanted to restore the involved tooth without getting extraction. After an intra oral examinations, it was observed that crown was fracture with vital dental condition. Case Management: After removing the fractured fragment, a vital pulpectomy was conducted in three visit periods at the remaining upper left primary teeth with final glass ionomer cement restoration using strip crowns. Conclusion: The importance of reconstruction on anterior primary teeth after traumatic injury provides both functional and aesthetic restorations for the child, what reflects on masticatory efficiency, increased self-steam and also phonetic improvements.


Download data is not yet available.


Sleet DA. The global challenge of child injury prevention. Int J Environ Res Public Health. 2018; 15(9):1921.

Petti S, Glendor U, Andersson L. World traumatic dental injury prevalence and incidence, a meta analysis one billion living people have had traumatic dental injuries. Dent Traumatol. 2018; 34(2): 71-86.

Jane A. S. Handbook of Clinical Techniques in Pediatric Dentistry-Wiley-Blackwell; 2017. p. 143-6.

Welbury R. Paediatric Dentistry 4th Edition. Oxford Universty Press; 2012. p. 219-23.

Cameron AC, Widmar RP. Handbook of Pediatric Dentistry 4th Edition. Elsevier; 2009. p. 207-18.

Marwah N. Text book of pediatric dentistry. 3rd Edition. Jaypee Brothers Medical Publishers; 2016. p. 156-69.

Cassamasimo P. Pediatric dentistry infancy through adolesence. 5th Edition. Elsevier; 2012. p. 213-25.

Day PF, Flores MT, O’Connell AC, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: Injuries in the primary dentition. Dent Traumatol. 2020; 36(4). 343-59.

Wright GZ. Behavior management in dentistry for children. 2nd Edition. Willey blackwell; 2014. p. 197-210.

Mc Donald and Avery's. Dentistry for the child and adolescent. 11 th Edition. Elsivier; 2021. p. 85-103.

Andreasen FM. Textbook and color atlas of traumatic injuries to the teeth, 5th Edition. Wiley Blackwell; 2019. p. 165-70.

Nowak AJ. Paediatric Dentistry. 6th Edition. Elsevier; 2019. p. 599-604.

Welbury R. Paediatric Dentistry 4th Edition. Oxford Universty Press; 2012. p. 219-52.

Cairns AM, Mok JY, Welbury RR. Injuries to the head, face, mouth and neck in physically abused children in a community setting. Int J Paediatr Dent. 2017; 15(5):310-8.

Holan G. Long-term effect of different modalities for traumatized primary incisors presenting dark discoloration with no other signs of injury. Dent Traumatol. 2016; 22(1):14-7.

Gideon H. Elizabeth Y. Radiographic evidence of traumatic injuries to primary incisors without accompanying clinical signs, Dental Traumatology. 2017; 33(2):133-6.




How to Cite

Kurnia, P. (2021). The Management of Complicated Crown Fracture of Anterior Primary Teeth. DENTA, 15(2), 107–111.