Intrusive luxation in a child – a four-year follow-up
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Research, Society and Development |
Texto Completo: | https://rsdjournal.org/index.php/rsd/article/view/29831 |
Resumo: | Dental trauma in children mainly results from general falls, favored by the lower resilience of the alveolar bone due to its higher porosity. Intrusive luxation is the tooth dislocation into its alveolus, in an axial direction. Clinically, this type of trauma may present in different severities: Grade I (mild partial intrusion, in which more than 50% of the crown is visible), Grade II (moderate partial intrusion, where less than 50% of the crown is visible), Grade III (severe or complete intrusion of the crown). This study reports a case of intrusive luxation in a child, as well as discusses diagnosis, therapeutic modalities, and follow-up of the case. A 15-month-old patient, attended the Baby Clinic of the Faculty of Dentistry of Araçatuba one week after suffering a trauma that resulted in total intrusion of tooth 51. Clinical examination revealed swollen gums in addition to the absence of tooth 51. After X-ray examination, total intrusion of tooth 51 was confirmed, with the apex of the root displaced in the buccal direction. The treatment strategy adopted was the spontaneous re-eruption of the tooth; in addition, the child was instructed on occlusal relief (control of the use of pacifiers and baby bottle, and habits such as onychophagy), and regarding oral hygiene. After three months follow-up, total eruption of tooth 51 was observed, and gums and apex of the traumatized tooth presented normal aspects. It can be concluded that clinical and radiographic control, especially in cases of traumatic injuries in primary dentition, in addition to monitoring until the eruption of the permanent teeth to detect possible sequelae in successor teeth can be presented as efficient alternatives for the treatment of intrusive luxation in teeth with incomplete rhizogenesis. |
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Intrusive luxation in a child – a four-year follow-upLuxación intrusiva en un niño – cuatro años de seguimientoLuxação intrusiva em criança – quatro anos de acompanhamentoDente decíduoTrauma dentalIncisivoOdontopediatria.Deciduous toothIncisiveDental traumaPediatric dentistry.Diente PrimarioIncisivoTrauma dentalOdontología pediátrica. Dental trauma in children mainly results from general falls, favored by the lower resilience of the alveolar bone due to its higher porosity. Intrusive luxation is the tooth dislocation into its alveolus, in an axial direction. Clinically, this type of trauma may present in different severities: Grade I (mild partial intrusion, in which more than 50% of the crown is visible), Grade II (moderate partial intrusion, where less than 50% of the crown is visible), Grade III (severe or complete intrusion of the crown). This study reports a case of intrusive luxation in a child, as well as discusses diagnosis, therapeutic modalities, and follow-up of the case. A 15-month-old patient, attended the Baby Clinic of the Faculty of Dentistry of Araçatuba one week after suffering a trauma that resulted in total intrusion of tooth 51. Clinical examination revealed swollen gums in addition to the absence of tooth 51. After X-ray examination, total intrusion of tooth 51 was confirmed, with the apex of the root displaced in the buccal direction. The treatment strategy adopted was the spontaneous re-eruption of the tooth; in addition, the child was instructed on occlusal relief (control of the use of pacifiers and baby bottle, and habits such as onychophagy), and regarding oral hygiene. After three months follow-up, total eruption of tooth 51 was observed, and gums and apex of the traumatized tooth presented normal aspects. It can be concluded that clinical and radiographic control, especially in cases of traumatic injuries in primary dentition, in addition to monitoring until the eruption of the permanent teeth to detect possible sequelae in successor teeth can be presented as efficient alternatives for the treatment of intrusive luxation in teeth with incomplete rhizogenesis.Los traumatismos dentarios en niños resultan principalmente de caídas generalizadas, favorecidas por la menor resiliencia del hueso alveolar debido a su mayor porosidad. La luxación intrusiva es la dislocación del diente hacia su alvéolo, en dirección axial. Clínicamente, este tipo de trauma puede presentarse en diferentes grados: Grado I (intrusión parcial leve, en la que se ve más del 50% de la corona), Grado II (intrusión parcial moderada, en la que se ve menos del 50% de la corona), Grado III (intrusión severa o completa de la corona). Este estudio relata un caso de luxación intrusiva en un niño, además de discutir el diagnóstico, las modalidades terapéuticas y el seguimiento del caso. Paciente de 15 meses de edad, acudió a la Clínica del Bebé de la Facultad de Odontología de Araçatuba una semana después de sufrir un traumatismo que resultó en la intrusión total del diente 51. El examen clínico reveló encías inflamadas además de la ausencia del diente 51. Después de X -examen radiológico, se confirmó intrusión total del diente 51, con el ápice de la raíz desplazado en sentido vestibular. La estrategia de tratamiento adoptada fue la reerupción espontánea del diente; además, se instruyó al niño sobre el relieve oclusal (control del uso de chupete y biberón, y hábitos como la onicofagia), y sobre higiene bucal. A los tres meses de seguimiento se observó erupción total del diente 51, y la encía y el ápice del diente traumatizado presentaban aspectos normales. Se puede concluir que el control clínico y radiográfico, especialmente en casos de lesiones traumáticas en dentición temporal, además del seguimiento hasta la erupción de los dientes permanentes para detectar posibles secuelas en dientes sucesores se pueden presentar como alternativas eficientes para el tratamiento de la luxación intrusiva. en dientes con rizogénesis incompleta.Luxação intrusiva é o deslocamento do dente em seu alvéolo, na direção axial, favorecido pela baixa resiliência do osso alveolar. Clinicamente, esse trauma pode apresentar: Grau I (intrusão parcial leve, em que mais de 50% da coroa é visível), Grau II (intrusão parcial moderada, em que menos de 50% da coroa é visível), Grau III (intrusão severa ou completa da coroa). O objetivo desse estudo foi relatar um caso de luxação intrusiva Grau III em uma criança, discutido aspectos acerca de seu diagnóstico, modalidade terapêutica e o acompanhamento do caso. Um paciente de 15 meses de idade, compareceu à Bebê Clínica da Faculdade de Odontologia de Araçatuba uma semana após sofrer um trauma. O exame clínico revelou gengivas inchadas além da ausência do elemento 51. Após exame radiográfico, a intrusão completa do dente 51 foi confirmada, com o deslocamento do ápice da raiz para a direção vestibular. O tratamento foi aguardar a reerupção espontânea do dente; além de orientações quanto ao alívio oclusal (controle do uso de bicos, e hábitos bucais como onicofagia) e sobre higiene bucal. Após três meses de acompanhamento, a erupção total do dente 51 foi observada, e a gengiva assim como o ápice do dente traumatizado apresentavam aspecto normais. Pode-se concluir que controle clínico e radiográfico, especialmente em casos de injúrias traumáticas em dentes decíduos, além de monitorar o caso até a erupção do dente permanente, detectando possíveis sequelas no dente sucessor e podem se apresentar como alternativas eficientes para o tratamento da luxação intrusiva em dentes com rizogênese incompleta.Research, Society and Development2022-05-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2983110.33448/rsd-v11i7.29831Research, Society and Development; Vol. 11 No. 7; e38611729831Research, Society and Development; Vol. 11 Núm. 7; e38611729831Research, Society and Development; v. 11 n. 7; e386117298312525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/29831/25975Copyright (c) 2022 Viviane de Oliveira Zequini Amarante; Robson Frederico Cunha; Caio Sampaio; Leonardo Antônio de Morais; Mariana Emi Nagata; Jéssica Silva Santana; Georgia Rondó Peres; Luigi Pedrini Guisso; Rodrigo Hayashi Sakuma; Thayse Yumi Hosidahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAmarante, Viviane de Oliveira Zequini Cunha, Robson Frederico Sampaio, CaioMorais, Leonardo Antônio de Nagata, Mariana EmiSantana, Jéssica Silva Peres, Georgia Rondó Guisso, Luigi Pedrini Sakuma, Rodrigo Hayashi Hosida, Thayse Yumi2022-06-06T15:12:05Zoai:ojs.pkp.sfu.ca:article/29831Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:46:48.205730Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false |
dc.title.none.fl_str_mv |
Intrusive luxation in a child – a four-year follow-up Luxación intrusiva en un niño – cuatro años de seguimiento Luxação intrusiva em criança – quatro anos de acompanhamento |
title |
Intrusive luxation in a child – a four-year follow-up |
spellingShingle |
Intrusive luxation in a child – a four-year follow-up Amarante, Viviane de Oliveira Zequini Dente decíduo Trauma dental Incisivo Odontopediatria. Deciduous tooth Incisive Dental trauma Pediatric dentistry. Diente Primario Incisivo Trauma dental Odontología pediátrica. |
title_short |
Intrusive luxation in a child – a four-year follow-up |
title_full |
Intrusive luxation in a child – a four-year follow-up |
title_fullStr |
Intrusive luxation in a child – a four-year follow-up |
title_full_unstemmed |
Intrusive luxation in a child – a four-year follow-up |
title_sort |
Intrusive luxation in a child – a four-year follow-up |
author |
Amarante, Viviane de Oliveira Zequini |
author_facet |
Amarante, Viviane de Oliveira Zequini Cunha, Robson Frederico Sampaio, Caio Morais, Leonardo Antônio de Nagata, Mariana Emi Santana, Jéssica Silva Peres, Georgia Rondó Guisso, Luigi Pedrini Sakuma, Rodrigo Hayashi Hosida, Thayse Yumi |
author_role |
author |
author2 |
Cunha, Robson Frederico Sampaio, Caio Morais, Leonardo Antônio de Nagata, Mariana Emi Santana, Jéssica Silva Peres, Georgia Rondó Guisso, Luigi Pedrini Sakuma, Rodrigo Hayashi Hosida, Thayse Yumi |
author2_role |
author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Amarante, Viviane de Oliveira Zequini Cunha, Robson Frederico Sampaio, Caio Morais, Leonardo Antônio de Nagata, Mariana Emi Santana, Jéssica Silva Peres, Georgia Rondó Guisso, Luigi Pedrini Sakuma, Rodrigo Hayashi Hosida, Thayse Yumi |
dc.subject.por.fl_str_mv |
Dente decíduo Trauma dental Incisivo Odontopediatria. Deciduous tooth Incisive Dental trauma Pediatric dentistry. Diente Primario Incisivo Trauma dental Odontología pediátrica. |
topic |
Dente decíduo Trauma dental Incisivo Odontopediatria. Deciduous tooth Incisive Dental trauma Pediatric dentistry. Diente Primario Incisivo Trauma dental Odontología pediátrica. |
description |
Dental trauma in children mainly results from general falls, favored by the lower resilience of the alveolar bone due to its higher porosity. Intrusive luxation is the tooth dislocation into its alveolus, in an axial direction. Clinically, this type of trauma may present in different severities: Grade I (mild partial intrusion, in which more than 50% of the crown is visible), Grade II (moderate partial intrusion, where less than 50% of the crown is visible), Grade III (severe or complete intrusion of the crown). This study reports a case of intrusive luxation in a child, as well as discusses diagnosis, therapeutic modalities, and follow-up of the case. A 15-month-old patient, attended the Baby Clinic of the Faculty of Dentistry of Araçatuba one week after suffering a trauma that resulted in total intrusion of tooth 51. Clinical examination revealed swollen gums in addition to the absence of tooth 51. After X-ray examination, total intrusion of tooth 51 was confirmed, with the apex of the root displaced in the buccal direction. The treatment strategy adopted was the spontaneous re-eruption of the tooth; in addition, the child was instructed on occlusal relief (control of the use of pacifiers and baby bottle, and habits such as onychophagy), and regarding oral hygiene. After three months follow-up, total eruption of tooth 51 was observed, and gums and apex of the traumatized tooth presented normal aspects. It can be concluded that clinical and radiographic control, especially in cases of traumatic injuries in primary dentition, in addition to monitoring until the eruption of the permanent teeth to detect possible sequelae in successor teeth can be presented as efficient alternatives for the treatment of intrusive luxation in teeth with incomplete rhizogenesis. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/29831 10.33448/rsd-v11i7.29831 |
url |
https://rsdjournal.org/index.php/rsd/article/view/29831 |
identifier_str_mv |
10.33448/rsd-v11i7.29831 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rsdjournal.org/index.php/rsd/article/view/29831/25975 |
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https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
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https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Research, Society and Development |
publisher.none.fl_str_mv |
Research, Society and Development |
dc.source.none.fl_str_mv |
Research, Society and Development; Vol. 11 No. 7; e38611729831 Research, Society and Development; Vol. 11 Núm. 7; e38611729831 Research, Society and Development; v. 11 n. 7; e38611729831 2525-3409 reponame:Research, Society and Development instname:Universidade Federal de Itajubá (UNIFEI) instacron:UNIFEI |
instname_str |
Universidade Federal de Itajubá (UNIFEI) |
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UNIFEI |
institution |
UNIFEI |
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Research, Society and Development |
collection |
Research, Society and Development |
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Research, Society and Development - Universidade Federal de Itajubá (UNIFEI) |
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rsd.articles@gmail.com |
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1797052712797339648 |