Tratamento de intrusão dentária após traumatismo: relato de caso clínico

• Autor(a) principal: Stefani, Ana Carolina Yukie Miyagui [UNESP]
• Data de Publicação: 2011
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/149370; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2017-01-26/000845035.pdf
• topic: Movimentação dentária; Traumatismos dentários; Reabsorção da raiz; Tooth Movement

Beyond the accession, the dental intrusion is considered as one of the types of trauma that provoke the damages most severe to the dental root and periodonto. It consists inside of the projection of the dental root for of the alveolus leading to the crushing of the periodontal ligament and the nervous beam vásculo of the pulp. Clinically the dental crown if presents in infraocclusion in relation to its contralateral, and metallic sound to the percussion. As consequences they have the necrosis of the fabric to pulpar, breaking of alveolar wall e, invariably, root resorption, that in turn it leads to the loss of the dental element. The treatment of this type of trauma depends on the degree of intrusion and the period of training of development of the root. It can consist of a clinical accompaniment of the spontaneous eruption of the tooth intruded when the same it presents rooting incomplete. Contrary case could be made the orthodontic drawing or the surgical repositioning. This work had as objective the presentation of a clinical case of dental intrusion where the patient looked to attendance 15 days after the occurrence of the trauma. To the accented level of intrusion and the delayed period of beginning of the treatment, it was opted to the orthodontic traction for treatment of the case. For the characteristics of the trauma the care was overcome to carry through a dislocation of the tooth intruded to make possible the movement. After the installation of the orthodontic device and clinical and radiografic accompaniment was evidenced, 42 days later, the correct positioning of the crown. Fifteen days before, the coronary and biomechanic opening of the canal was made to radicular with the rank of hidroxide dressing of of calcium that remained per 60 days until the definitive filling. After two years of accompaniment the treat tooth presents...