Evaluation and Treatment of Crown Fractures Using the Modified Baysal Dental Trauma Index

Condition(s) studied

Investigational drug(s) / intervention(s)

Direct Composite Restoration: Application of direct composite resin to restore the fractured crown of permanent incisors.

Cvek Pulpotomy: Partial pulpotomy (Cvek technique) will be performed for complicated crown fractures with vital pulp exposure. The goal is to maintain pulp vitality using biodentin.

Endodontic Treatment: Root canal treatment will be applied to teeth with necrotic pulp or extensive pulp exposure not suitable for vital pulp therapy. Procedures will follow standard endodontic protocols.

Pulp Capping: In cases of minimal pulp exposure, a direct pulp capping procedure will be performed using biocompatible materials such as calcium hydroxide to preserve pulp vitality.

Study summary

This study will be conducted by the Department of Pediatric Dentistry, Faculty of Dentistry, İnönü University, with the aim of evaluating the treatment processes and follow-up responses of patients aged between 6 and 14 years who will present with crown fractures in their maxillary or mandibular permanent incisors.

Written informed consent will be obtained from the parents of all participating patients. The research will be carried out using a prospective observational design.

Initially, sociodemographic information as well as personal data such as the child's age and gender will be collected through a questionnaire designed for the parents. Additionally, trauma-related information-including the time, location, and cause of the injury-will be recorded in detail using a trauma assessment form developed for the study.

Each patient will undergo clinical and radiographic evaluations, and treatment planning and follow-up will be carried out based on these findings.

Eligibility

Primary outcome measure(s)

• Proportion of Treated Teeth Without Clinical Symptoms or Radiographic Pathology at 12 Months (PAI Score ≤ 2) — 12 months
  Treatment success will be defined as the absence of spontaneous pain, swelling, sinus tract, abnormal mobility, discoloration, and the presence of radiographic healing or absence of periapical pathology, as assessed using the Periapical Index (PAI) by Ørstavik et al. (1986). Evaluations will be performed at 12 months post-treatment.

Trial sites (1)

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