Immature maxillary central incisors with horizontal root fractures and coronal fragment avulsion: a case study

In this case study, a 19-year-old female patient with severe dental anxiety presented for a dental trauma review subsequent to an injury to the UR1 and UL1 9 years previously. This case was managed conservatively from the outset by periodic reviews. During the reviews, both the UR1 and UL1 showed no signs of infection or inflammation, but there was evidence of pulp canal obliteration in both teeth. Radiographic assessments showed healing at the fracture sites, although the apical fragment of the UL1 appeared distally displaced, which was evident from the 11-month review onwards. In addition to the trauma management, the patient was seen in a joint hypodontia clinic for potential orthodontic treatment. After 9 years, the UR1 and UL1 remained responsive to pulp sensibility tests and were asymptomatic, with no signs of infection or inflammation. CPD/Clinical Relevance: The importance of periodic post-trauma reviews, comprehensive treatment planning, conservative management of traumatized, immature permanent teeth is highlighted.