Abstract:

Dental trauma is a common clinical condition with significant functional, aesthetic, and psychosocial consequences, particularly in children and adolescents. Anterior teeth are most frequently affected, and timely, appropriate management is essential to ensure a favorable prognosis and to minimize pulpal and periodontal complications. This article presents a clinical case of an 8-year-old systemically healthy boy who reported dental sensitivity two months after a traumatic incident. Clinical examination revealed an uncomplicated crown fracture of tooth 31 and a complicated crown fracture of tooth 32.
Based on the clinical findings and time elapsed since trauma, a comprehensive treatment plan was established. Tooth 31 was restored using an injection molding technique, allowing for minimally invasive reconstruction with predictable aesthetic and functional outcomes. Tooth 32 underwent endodontic treatment followed by direct composite restoration. The injectable technique involved the use of a transparent silicone index, adhesive protocols, and light-curing through the silicone key to ensure accurate morphology, optimal marginal adaptation, and reduced chairside time.
A four-year follow-up radiographic and clinical evaluation demonstrated completed root development, absence of periapical pathology, and long-term stability of the restorations with satisfactory aesthetics and structural integrity. The case highlights the advantages of direct restorative approaches in young patients, including preservation of tooth structure, reduced biological cost, reparability, and immediate aesthetic rehabilitation.
Keywords: Dental trauma; anterior tooth fracture; Pediatric dentistry; Direct composite restoration; Injectable composite technique.