PROFILE OF COMPLICATED/UNCOMPLICATED CROWN FRACTURES AND HEALING COMPLICATIONS IN PERMANENT TEETH - A RETROSPECTIVE STUDY

Abstract

Purpose: This retrospective study analyses the profile of uncomplicated/complicated crown fractures in permanent teeth, the frequency of healing complications, and types of treatment methods.

Methods: The trauma forms of patients who were registered with uncomplicated/complicated crown fractures from 2016 to 2019 were evaluated. Long-term treatment outcomes were analyzed from patient radiographs using the Periapical Index. The relationship between categorical variables was tested with the Chi-square test. Logistic regression analysis was performed to search for an association between the type of fracture, length of follow-up period, and presence of healing complications. P<0.05 was considered significant.

Results: In this study, a total of 361 teeth of 228 patients aged between 6-14 years old were evaluated. While 243 (67.3%) of these teeth were evaluated as uncomplicated crown fractures, 118 (32.7%) were classified as complicated crown fractures. The relationship between the treatment and the fracture type was found to be statistically significant (p=0.001). When the effect of the length of follow-up period and the fracture types on treatment success was examined by logistic regression analysis, it was found that the follow-up period (p=0.460) and the fracture type (p=0.058) had no effect on healing complications.

Conclusion: Retrospective studies help define prognostic factors. When the relationship between crown fracture types and healing complications was examined, it was observed that healing complications were more common in complicated fractures.

Keywords:

Dental Trauma, Crown Fractures, Complications, Periapical Index

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