Vol. 11, Issue 3, Part C (2025)

Background: Traumatic Dental Injuries (TDIs) represent a significant public health concern, particularly among children. Dentoalveolar fractures involving primary and permanent teeth are relatively rare in children but pose complex clinical challenges. If not managed appropriately, such TDIs may lead to significant developmental and aesthetic consequences. Timely and effective care is essential to prevent complications and promote optimal oral development.

Case presentation: This case report describes the management of a 10-year-old patient who presented with a segmental maxillary dentoalveolar fracture, avulsion of the primary canine, lateral luxation of the permanent lateral incisor teeth following a fall from a bicycle. The treatment plan included surgical repositioning of the alveolar fragment under local anesthesia. A closed reduction technique was employed, followed by soft tissue suturing. The non-vital maxillary right central incisor was treated with root canal therapy. For aesthetic and functional rehabilitation, a removable partial denture was provided to restore the missing teeth during the mixed dentition period.

Results: The clinical outcome was favorable, with stable repositioning of the alveolar segment, satisfactory healing of both soft and hard tissues, and preservation of oral function. The removable prosthetic appliance provided effective aesthetic and masticatory rehabilitation during   follow-up.

Conclusion: This case highlights the Conservative surgery and early prosthetic rehabilitation, aligned with IADT 2020 guidelines, effectively manage pediatric dentoalveolar trauma, emphasizing interdisciplinary care and follow-up.