Conservative Management of Subluxation Injuries in Young Permanent Teeth Using Fiber-Reinforced Composite Splints: Review and Case Reports

Subluxation of young permanent teeth poses a significant clinical challenge due to its potential impact on pulp vitality, periodontal healing, and esthetics. Luxation injuries in anterior teeth are more common in children and adolescents, often resulting from sports injuries, falls, or accidents. Management of these injuries requires accurate diagnosis, prompt repositioning, and effective stabilization. Fiber-reinforced composite (FRC) splints, being flexible and esthetic, have emerged as a preferred option in anterior teeth stabilization in pediatric and adolescent patients. This case series highlights the diagnosis and management of subluxation injury in three pediatric patients aged 6-12 years, each presenting with varying forms of subluxation injury of young permanent incisors. Teeth were repositioned and stabilized with FRC splints following the International Association of Dental Traumatology (IADT) 2020 guidelines. Clinical and radiographic follow-ups demonstrated favourable healing outcomes with no evidence of adverse sequelae. Fiber-reinforced composite splints represent a clinically predictable, minimally invasive, and esthetic alternative to wire splints in the management of subluxation injuries of anterior teeth in adolescents. Their flexibility and stabilization efficacy align with IADT recommendations, promoting periodontal healing and patient satisfaction. Fiber-reinforced composite splints can be considered the splint of choice for managing luxation injuries in young permanent teeth, particularly in esthetically sensitive zones of adolescents, where functional and psychosocial outcomes are equally important.