ESTHETIC REHABILITATION IN PRIMARY AND PERMANENT SUCCESSORS INCISORS IN A CHILD WITH CONOIDAL AND ABSENCE TEETH: A CASE REPORT

• Autor(a) principal: Jorge, Roberta Costa
• Data de Publicação: 2022
• Outros Autores: Papoula Gorni dos Reis, Patrícia, Barja-Fidalgo Silva De Andrade, Fernanda, Mendes Soviero, Vera, Fidalgo, Tatiana Kelly da Silva
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica do CRO-RJ (Online)
• Texto Completo: https://cro-rj.org.br/revcientifica/index.php/revista/article/view/252
• topic: Estética; Reabilitação Oral; Anormalidades Dentárias; Displasia Ectodérmica; Bullying; Esthetic; Oral Rehabilitation; Tooth Abnormalities; Ectodermal Dysplasia; Bullying

Objective: To show the aesthetic treatment performed in deciduous incisors and in permanent successors in a child with congenital dental abnormalities (conoid and missing teeth), which associated with bone disproportion of the middle third of the face led to a suspicious diagnosis of ectodermal dysplasia. Case report: This report was written following the CARE Statement. A 6-year-old girl attended the Pediatric Dental Clinic complaining about bullying due to appearance her teeth. The reanatomization of the conoid-shaped deciduous incisors was done with direct composite resin using preformed acetate crowns. After 15 months, the deciduous incisors had exfoliated and the permanent incisors erupted also with a conoid shape. For aesthetic rehabilitation, direct composite restorations were performed using the incremental technique guided by a silicone matrix made based on the diagnostic wax-up. Conclusion: In the follow-up, the patient and guardians reported satisfaction with appearance of her smile and an increased self-esteem. The case remains under follow-up and future planning will include orthodontics and prosthodontics.