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ABS TRACT If a complicated crown fracture includes subgingival fractures, accessibility to the fracture line determines how conservative the treatment needs to be. Exposure of the fracture line with traditional methods of oral surgery using scalpels or electro surgery may produce significant postoperative discomfort and a prolonged healing time. In addition, soft tissue surgical procedures are often not suitable for children as problems with cooperation means that they cannot be performed without general anesthetic. Therefore, laser supported therapy is a suitable alternative in oral surgery of traumatic injuries in pediatric dentistry as it is needle-free, causes less discomfort, and tends to be accepted by young patients; thereby reducing unnecessary psychological trauma. This paper describes the management of three cases of complicated crown-root fractures that extended subgingivally and involved pulp exposure to the permanent maxillary incisors. A dental laser was utilized in exposing the fracture line. Fiber posts were also used to reinforce the teeth structures. At 1 year follow up, clinical and and radiographic findings of the cases were satisfactory.

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A Conservative Treatment Approach with Laser Therapy for Complicated Crown Root Fractures of Maxillary Anterior Teeth: A Report on Three Representative Cases of Pediatric Patients