Diode Laser Application In Crown Fracture Of Anterior Teeth

Traumatic dental injuries in children, particularly complicated crown fractures, pose significant challenges due to immature dentition and psychological distress. Conventional treatments often involve multiple invasive procedures, prolonging therapy and exacerbating anxiety. This case report highlights a minimally invasive approach combining diode laser gingivectomy and fractured fragment reattachment to optimize outcomes for a pediatric patient. An 11-year-old boy presented with a complicated crown fracture of tooth 21 following trauma. Clinical and radiographic examinations revealed subgingival fracture extension, pulp exposure, and incomplete root development. Root canal therapy was initiated, followed by diode laser gingivectomy to expose the fracture margin. The displaced gingival tissue was precisely contoured using a 980-nm diode laser. The natural tooth fragment was then reattached using adhesive resin after conditioning both surfaces. The integration of diode laser technology minimized intraoperative bleeding, enhanced precision, and reduced postoperative discomfort compared to conventional surgical methods. Fragment reattachment preserved tooth structure, esthetics, and function while bypassing the need for interim prostheses. This approach shortened treatment duration, mitigating the psychological impact of repeated dental visits and preserving the patient’s self-esteem during a critical developmental stage. Combining diode laser gingival management with fragment reattachment offers a conservative, time-efficient solution for subgingival crown fractures in children. It prioritizes biological preservation, reduces patient anxiety, and restores dental function with predictable esthetic results. This protocol demonstrates clinical viability for managing pediatric dental trauma while addressing the unique psychosocial needs of young patients.