{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T16:06:25Z","timestamp":1784649985321,"version":"3.55.0"},"reference-count":29,"publisher":"Operative Dentistry","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>This study reports a case of complicated crown-root fractures of the maxillary central incisors (teeth 8 and 9) in a 10-year-old boy. Vital pulpotomy and iRoot BP Plus capping were performed to protect the pulp. The fractured crown fragments were used to restore the tooth morphology, and the esthetics and function of both central incisors were restored. The roots of the affected teeth continued to develop normally.<\/jats:p>\n                  <jats:p>Twenty-five months after the initial treatment, the patient suffered another trauma, resulting in a second dislodgement of the fractured crown of the left maxillary central incisor. Given the structural integrity of the fractured crown, reattachment was performed again to reshape the tooth, thereby restoring its appearance to the greatest extent possible.<\/jats:p>\n                  <jats:p>After a 40-month follow-up, the esthetics and function of teeth 8 and 9 remained satisfactory. Normal anterior occlusion was established, and the treatment outcome was highly appreciated by the patient and his parents.<\/jats:p>\n                  <jats:p>This case provides clinical detail useful for managing complex crown and root fractures caused by multiple traumas in young permanent teeth, emphasizing the importance of pulp preservation, conservative restoration, and preventive measures.<\/jats:p>","DOI":"10.2341\/25-179-s","type":"journal-article","created":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T01:45:25Z","timestamp":1783734325000},"page":"97-111","source":"Crossref","is-referenced-by-count":0,"title":["Vital Pulp Preservation and Restorative Treatment for Young Permanent Incisors with Complicated Crown-Root Fractures: A Case Report"],"prefix":"10.2341","volume":"51","author":[{"given":"J","family":"Liu","sequence":"first","affiliation":[{"name":"*Jiale Liu, Shaoxing Stomatological Hospital, Shaoxing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1188","reference":[{"issue":"4","key":"b1","series-title":"Dental Traumatology","first-page":"309","article-title":"International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction","volume":"36","author":"Levin L","year":"2020","unstructured":"Levin L, Day PF, Hicks L, O\u2019Connell A, Fouad AF, Bourguignon C, & Abbott PV (2020) International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction Dental Traumatology 36(4) 309\u2013313."},{"issue":"6","key":"b2","series-title":"International Endodontic Journal","first-page":"613","article-title":"Vital pulp treatment for traumatized permanent teeth: A systematic review","volume":"55","author":"Matoug-Elwerfelli M","year":"2022","unstructured":"Matoug-Elwerfelli M, Elsheshtawy AS, Duggal M, & Palagiri P (2022) Vital pulp treatment for traumatized permanent teeth: A systematic review International Endodontic Journal 55(6) 613-629."},{"issue":"4","key":"b3","series-title":"Chinese Journal of Practical Stomatology","first-page":"405","article-title":"Diagnostic and therapeutic strategies for complicated crown fractures and crown-root fractures in immature permanent teeth","volume":"15","author":"Liu JJ","year":"2022","unstructured":"Liu JJ & Wang XJ (2022) Diagnostic and therapeutic strategies for complicated crown fractures and crown-root fractures in immature permanent teeth Chinese Journal of Practical Stomatology 15(4) 405-410."},{"issue":"7","key":"b4","series-title":"Journal of Oral Science Research","first-page":"673","article-title":"Retrospective analysis of 246 cases of pediatric dental trauma","volume":"38","author":"Li RM","year":"2022","unstructured":"Li RM, Duan L, Yang YF, & Wang Y (2022) Retrospective analysis of 246 cases of pediatric dental trauma Journal of Oral Science Research 38(7) 673-677."},{"issue":"11","key":"b5","series-title":"Journal of Endodontics","first-page":"1715","article-title":"Treatment outcomes of permanent immature teeth with crown fracture: A retrospective cohort study","volume":"47","author":"Shahmohammadi R","year":"2021","unstructured":"Shahmohammadi R, Sheikhnezami M, Moradi S, Jafarzadeh H, & Azarpazhooh A (2021) Treatment outcomes of permanent immature teeth with crown fracture: A retrospective cohort study Journal of Endodontics 47(11) 1715-1723."},{"issue":"2","key":"b6","series-title":"Pediatric Dentistry","first-page":"102","article-title":"Epidemiology of traumatic dental injuries","volume":"35","author":"Andersson L","year":"2013","unstructured":"Andersson L (2013) Epidemiology of traumatic dental injuries Pediatric Dentistry 35(2) 102-105."},{"issue":"1","key":"b7","series-title":"Journal of Prosthetic Dentistry","first-page":"13","article-title":"Effect of intraradicular fiber post on the fracture resistance of endodontically treated and restored anterior teeth: A systematic review and meta-analysis","volume":"128","author":"Jurema ALB","year":"2022","unstructured":"Jurema ALB, Filgueiras AT, Santos KA, & Silva CM (2022) Effect of intraradicular fiber post on the fracture resistance of endodontically treated and restored anterior teeth: A systematic review and meta-analysis Journal of Prosthetic Dentistry 128(1) 13-24."},{"issue":"5","key":"b8","series-title":"International Journal of Environmental Research and Public Health","first-page":"2789","article-title":"Oral health-related quality of life in children and adolescents with a traumatic injury of permanent teeth and the impact on their families: A systematic review","volume":"19","author":"Das P","year":"2022","unstructured":"Das P, Mishra L, Jena D, & Sahoo S (2022) Oral health-related quality of life in children and adolescents with a traumatic injury of permanent teeth and the impact on their families: A systematic review International Journal of Environmental Research and Public Health 19(5) 2789."},{"issue":"4","key":"b9","series-title":"Dental Traumatology","first-page":"314","article-title":"International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations","volume":"36","author":"Bourguignon C","year":"2020","unstructured":"Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O\u2019Connell AC, Day PF, Tsilingaridis G, Abbott PV, Fouad AF, Hicks L, Andreasen JO, Cehreli ZC, Harlamb S, Kahler B, Oginni A, Semper M, & Levin L (2020) International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations Dental Traumatology 36(4) 314-330."},{"issue":"6","key":"b10","series-title":"Journal of Dentistry for Children","first-page":"254","article-title":"The development of the permanent teeth","volume":"27","author":"Nolla CM","year":"1960","unstructured":"Nolla CM (1960) The development of the permanent teeth Journal of Dentistry for Children 27(6) 254-266."},{"issue":"4","key":"b11","series-title":"Dental Traumatology","first-page":"417","article-title":"Long-term outcome of adhesive fragment reattachment in crown-root fractured teeth","volume":"36","author":"Soliman S","year":"2020","unstructured":"Soliman S, Lang LM, Hahn B, & Kahl-Nieke B (2020) Long-term outcome of adhesive fragment reattachment in crown-root fractured teeth Dental Traumatology 36(4) 417-426."},{"issue":"5","key":"b12","series-title":"Journal of Endodontics","first-page":"694","article-title":"Diagnostic accuracy of 5 dental pulp tests: A systematic review and meta-analysis","volume":"44","author":"Mainkar A","year":"2018","unstructured":"Mainkar A & Kim SG (2018) Diagnostic accuracy of 5 dental pulp tests: A systematic review and meta-analysis Journal of Endodontics 44(5) 694-702."},{"issue":"6","key":"b13","series-title":"Endodontics and Dental Traumatology","first-page":"294","article-title":"Traumatic crown fractures in permanent incisors with immature roots: A follow-up study","volume":"11","author":"Cavalleri G","year":"1995","unstructured":"Cavalleri G & Zerman N (1995) Traumatic crown fractures in permanent incisors with immature roots: A follow-up study Endodontics and Dental Traumatology 11(6) 294-296."},{"issue":"Suppl 1","key":"b14","series-title":"Dental Traumatology","first-page":"1","article-title":"Vital pulp therapy for traumatic pulpal exposure in permanent teeth: A path to healing? Insights from existing systematic reviews","volume":"41","author":"Sharma R","year":"2025","unstructured":"Sharma R, Durga K, & Wadhwa H (2025) Vital pulp therapy for traumatic pulpal exposure in permanent teeth: A path to healing? Insights from existing systematic reviews Dental Traumatology 41(Suppl 1) 1-10."},{"issue":"5","key":"b15","series-title":"Chinese Journal of Oral and Maxillofacial Surgery","first-page":"468","article-title":"Clinical characteristics and related factors of pulp necrosis after dental trauma in 110 children","volume":"22","author":"Liu JL","year":"2024","unstructured":"Liu JL, Cai L, Yang YY, & Zhang Y (2024) Clinical characteristics and related factors of pulp necrosis after dental trauma in 110 children Chinese Journal of Oral and Maxillofacial Surgery 22(5) 468-472."},{"issue":"6","key":"b16","series-title":"Journal of Endodontics","first-page":"793","article-title":"Biocompatibility of two novel root repair materials","volume":"37","author":"Ma J","year":"2011","unstructured":"Ma J, Shen Y, Stojicic S, & Haapasalo M (2011) Biocompatibility of two novel root repair materials Journal of Endodontics 37(6) 793-798."},{"issue":"4","key":"b17","series-title":"Brazilian Dental Journal","first-page":"362","article-title":"Similar sealability between bioceramic putty ready-to-use repair cement and white MTA","volume":"24","author":"Leal F","year":"2013","unstructured":"Leal F, De-Deus G, Brand\u00e3o C, & Souza E (2013) Similar sealability between bioceramic putty ready-to-use repair cement and white MTA Brazilian Dental Journal 24(4) 362-366."},{"issue":"18","key":"b18","series-title":"Enterococcus faecalis Materials","first-page":"6124","article-title":"Antibacterial activity and sustained effectiveness of calcium silicate-based cement as a root-end filling material against","volume":"16","author":"Moon SH","year":"2023","unstructured":"Moon SH, Shin SJ, Oh S, & Lee J (2023) Antibacterial activity and sustained effectiveness of calcium silicate-based cement as a root-end filling material against Enterococcus faecalis Materials 16(18) 6124."},{"issue":"5","key":"b19","series-title":"Journal of Endodontics","first-page":"652","article-title":"Evaluation of a bioceramic as a pulp capping agent in vitro and in vivo","volume":"41","author":"Liu S","year":"2015","unstructured":"Liu S, Wang S, & Dong Y (2015) Evaluation of a bioceramic as a pulp capping agent in vitro and in vivo Journal of Endodontics 41(5) 652-657."},{"issue":"1","key":"b20","series-title":"Journal of Endodontics","first-page":"163","article-title":"Ion release, microstructural, and biological properties of iRoot BP Plus and ProRoot MTA exposed to an acidic environment","volume":"43","author":"Tian J","year":"2017","unstructured":"Tian J, Zhang Y, Lai Z, & Chen Z (2017) Ion release, microstructural, and biological properties of iRoot BP Plus and ProRoot MTA exposed to an acidic environment Journal of Endodontics 43(1) 163-168."},{"issue":"4","key":"b21","series-title":"Beijing Journal of Stomatology","first-page":"216","article-title":"Clinical evaluation of sequential treatment for preserving fractured crowns in complicated oblique crown-root fractures","volume":"26","author":"Xue L","year":"2018","unstructured":"Xue L, Ding QW, & Zhang X (2018) Clinical evaluation of sequential treatment for preserving fractured crowns in complicated oblique crown-root fractures Beijing Journal of Stomatology 26(4) 216-219."},{"issue":"1","key":"b22","series-title":"BMC Oral Health","first-page":"1129","article-title":"Single- versus multi-visit approach for fragment reattachment in complicated crown-root fractures: A cohort study","volume":"24","author":"Liu H","year":"2024","unstructured":"Liu H, Zhang X, Zhang X, & Li Y (2024) Single- versus multi-visit approach for fragment reattachment in complicated crown-root fractures: A cohort study BMC Oral Health 24(1) 1129."},{"issue":"1","key":"b23","series-title":"BMC Oral Health","first-page":"1285","article-title":"Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (A randomized controlled clinical trial)","volume":"24","author":"Metwaly AA","year":"2024","unstructured":"Metwaly AA, Elzoghby AF, & Abd ElAziz RH (2024) Clinical performance of polyethylenefiber reinforced resin composite restorations in endodontically treated teeth: (A randomized controlled clinical trial). BMC Oral Health 24(1) 1285."},{"issue":"5","key":"b24","series-title":"British Dental Journal","first-page":"301","article-title":"Clinical guidance and an evidence-based approach for restoration of worn dentition by direct composite resin","volume":"224","author":"Milosevic A","year":"2018","unstructured":"Milosevic A (2018) Clinical guidance and an evidence-based approach for restoration of worn dentition by direct composite resin. British Dental Journal 224(5) 301-310."},{"issue":"7 Suppl","key":"b25","series-title":"Pediatric Dentistry","first-page":"58","article-title":"Policy on prevention of sports-related orofacial injuries","volume":"30","author":"American Academy on Pediatric Dentistry Clinical Affairs Committee American Academy on Pediatric Dentistry Council on Clinical Affairs","year":"2008-2009","unstructured":"American Academy on Pediatric Dentistry Clinical Affairs Committee American Academy on Pediatric Dentistry Council on Clinical Affairs (2008-2009) Policy on prevention of sports-related orofacial injuries Pediatric Dentistry 30(7 Suppl) 58-60."},{"issue":"Suppl 1","key":"b26","series-title":"Dental Traumatology","first-page":"7","article-title":"The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 3: Mouthguards for the prevention of dental and oral trauma","volume":"40","author":"Abbott PV","year":"2024","unstructured":"Abbott PV, Tewari N, O\u2019Connell AC, Mills SC, Stasiuk H, Roettger M, & Levin L (2024) The International Association of Dental Traumatology (IADT) and the Academy for Sports Dentistry (ASD) guidelines for prevention of traumatic dental injuries: Part 3: Mouthguards for the prevention of dental and oral trauma. Dental Traumatology 40(Suppl 1) 7-9."},{"issue":"6","key":"b27","series-title":"International Journal of Pediatric Dentistry","first-page":"396","article-title":"The role of the mouthguard in the prevention of sports-related dental injuries: A review","volume":"11","author":"Newsome PR","year":"2001","unstructured":"Newsome PR, Tran DC, & Cooke MS (2001) The role of the mouthguard in the prevention of sports-related dental injuries: A review International Journal of Pediatric Dentistry 11(6) 396-404."},{"issue":"12","key":"b28","series-title":"Dental Materials","first-page":"1176","article-title":"Eight-year clinical evaluation of a 2-step self-etch adhesive with and without selective enamel etching","volume":"26","author":"Peumans M","year":"2010","unstructured":"Peumans M, De Munck J, Van Landuyt KL, & Van Meerbeek B (2010) Eight-year clinical evaluation of a 2-step self-etch adhesive with and without selective enamel etching Dental Materials 26(12) 1176-1184."},{"issue":"3","key":"b29","series-title":"Chinese Journal of Sports Medicine","first-page":"262","article-title":"Study on the force buffering mechanism of sports mouthguards","volume":"35","author":"Nie XH","year":"2016","unstructured":"Nie XH, & Yang XJ (2016) Study on the force buffering mechanism of sports mouthguards Chinese Journal of Sports Medicine 35(3) 262-268."}],"container-title":["Operative Dentistry"],"original-title":[],"link":[{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/51\/2\/article-p97.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/51\/2\/article-p97.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/downloadpdf\/journals\/odnt\/51\/2\/article-p97.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:35:37Z","timestamp":1784648137000},"score":1,"resource":{"primary":{"URL":"https:\/\/operative-dentistry.kglmeridian.com\/view\/journals\/odnt\/51\/2\/article-p97.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":29,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.2341\/25-179-s","relation":{},"ISSN":["1559-2863","0361-7734"],"issn-type":[{"value":"1559-2863","type":"electronic"},{"value":"0361-7734","type":"print"}],"subject":[],"published":{"date-parts":[[2026,3]]}}}