Treatment of complex traumatic anterior dental injuries: a pediatric case report

Traumatic injuries of permanent teeth in children present complex challenges. Growth and development influences, orthodontic considerations, and unknown endodontic and periodontal sequelae preclude immediate intervention with long-term restorations. "Interim" solutions are required to return the patient to the normal appearance, function, and health of the dental/alveolar complex until maturation of the patient allows long-term treatment planning. This report outlines diagnosis and treatment of multiple injuries, sustained by the maxillary anterior teeth. Step-by-step clinical procedures and their rationale are described. The learning objective of this case report is to outline the principles for management of traumatic injuries of permanent anterior teeth in young patients and to demonstrate clinical techniques for splinting displaced teeth, bonding fractured teeth, providing endodontic therapy, and fabricating adhesively bonded resin composite restorations for interim full coverage of severely damaged permanent incisors in a child.