DOI: https://doi.org/10.36347/sjds.2024.v11i10.002

Pages: 148-159

This systematic review aimed to evaluate the existing literature on the management of complicated crown fractures in permanent anterior teeth. A comprehensive search of PubMed (MEDLINE) from January 2012 to January 2022 identified 85 relevant articles, with 16 studies meeting the inclusion criteria. These studies comprised 6 case reports, 3 literature reviews, 5 retrospective studies, 1 prospective study, and 1 systematic review. Key factors influencing treatment decisions were the stage of root development, pulp exposure size, and tooth restorability. However, the review found a lack of consensus regarding the optimal treatment approach, particularly concerning the choice between direct pulp capping, partial pulpotomy, or full pulpotomy. The studies revealed variability in outcomes based on age and pulp exposure size, but the time elapsed between trauma and treatment did not consistently influence the choice of therapy. Our findings align with the 2020 International Association of Dental Traumatology (IADT) guidelines, which advocate for vital pulp therapy in managing traumatic crown fractures. Nevertheless, more recent studies (2020-2024) suggest further refinement is needed to establish precise treatment protocols. Future research should focus on providing actionable clinical guidelines and exploring long-term outcomes to inform better clinical decision-making.