Complicated crown fracture treatment and its impact on quality of life related to oral health: report of two cases

Abstract

Objective: The purpose of this study was to report on the management of two complicated crown fractures of the permanent incisors and how the treatment of these injuries influences quality of life related to oral health (QHRQoL). Case report : In the first case, pulpectomy was performed because of pulp necrosis and complete rhizogenesis. In the second case, pulpotomy was performed, as the pulp had vitality and the tooth had incomplete rhizogenesis. Fragment bonding was carried out in both cases. QHRQoL was assessed before and one week after treatment. In case 1, scores varied from 32 to 9 in the CPQ 11-14, from 42 to 12 in the P-CPQ, and from 24 to 4 in the FIS. In case 2, scores varied from 38 to 20 in the CPQ 8-10 , from 94 to 28 in the P-CPQ, and from 39 to 10 in the FIS. Conclusion : Fragment bonding is an efficient solution, as well as endodontic therapy. Furthermore, dental trauma treatment improved the quality of life of children and their families and could be observed one week after treatment.