MULTIDISCIPLINARY CONSERVATIVE MANAGEMENT OF DENTAL FRACTURE IN YOUNG PATIENT: CASE REPORT

• Autor(a) principal: Letieri, Aline dos Santos
• Data de Publicação: 2020
• Outros Autores: Jural, Lucas Alves, Lima, Paula Moraes, Sperduto, Cinthia Marques, dos Santos, Jeane Batista, Borges, Lívia Paes, Mattos, Luiza Seabra Martins, Soares, Thaís Rodrigues Campos, Pereira, Gisele Damiana da Silva, Maia, Lucianne Cople
• 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/136
• topic: Tooth Fractures; Tooth Injuries; Conservative Treatment; Dental Restoration, Permanent; Fraturas dos Dentes; Traumatismos dentários; Tratamento Conservador; Restauração Dentária Permanente

Introduction: The management of fractured permanent teeth due to dental trauma in young patients is a challenge that requires an efficient approach. Objective: Describe a conservative and multidisciplinary treatment of a case of dental trauma in a 13 years-old boy. Case report: At clinical examination was verified enamel and dentin fracture in the left upper central incisor and a fracture with pulp exposure in the right upper lateral incisor, with subgingival extension of its margin at lingual surface, and no swelling or tooth displacement was observed. At radiographic evaluation, no pulp or periradicular disturbances were verified. It was proposed the surgical lengthening of the clinical crown of the right upper lateral incisor for later performing endodontic treatment. It was decided to make direct composite resin restorations in both fractured teeth, instead of doing a prosthetic treatment in the affected lateral incisor, such as the placement of a full ceramic crown, in an attempt to perform a less invasive treatment, mainly due to the age of the patient. At a two years follow-up visit was observed the maintenance of the health of periapical tissues and the absence of clinical alterations. Conclusion: The restorations were kept in good conditions and aesthetics was considered satisfactory by professionals, patient and parents.