Abordagem multidisciplinar no tratamento de um paciente pediátrico com traumatismo dentário / Multidisciplinary approach to treat a pediatric patient with dental trauma

Objetivou-se relatar uma abordagem multidisciplinar na reabilitação funcional e estética após traumatismo dentário em um pacientepediátrico. Um paciente do sexo masculino, 9 anos de idade, apresentou-se com fratura coronária complexa do elemento 21 e impactação do elemento 11 devido a presença de odontoma. No elemento 11, após a remoção do odontoma foi observado a sua erupção espontânea restabelecendo sua estética e função. No elemento 21, o paciente recebeu um tratamento multidisciplinar, no qual realizou-se: aumento de coroa clínica, tracionamento ortodôntico, tratamento endodôntico, cimentação de retentor intrarradicular e restauração estética. As abordagens multidisciplinares são componentes importantes para o sucesso da reabilitação funcional e estética de complexas fraturas coronárias.

The objective was to report a multidisciplinary approach in the functional and esthetic rehabilitation after dental trauma in apediatric patient. A male patient, 9 years old, presented with a complex crown fracture of the element 21 and 11 impaction of the element due to the presence of odontoma. In element 11, after the removal of odontoma was found at his spontaneous eruption restoring its function and aesthetics. In element 21, the patient received a multidisciplinary treatment, following: an increase in clinical crown, orthodontic traction, endodontic treatment, cement retainer intraradicular and aesthetic restoration. Multidisciplinary approaches are important components for successful rehabilitation of complex functional and aesthetic crown fractures.

Utilização de pino e faceta biológica em dente decíduo anterior desvitalizado: relato de caso / The use of biologic post and facet on devitalized primary maxillary anterior teeth: case report

O objetivo deste trabalho é o de relatar um caso de reabilitação estético-funcional por meio de pino e faceta biológica de um incisivo central decíduo. Paciente, com 4 anos de idade, atendido na clínica de Odontopediatria, com queixa principal estética do elemento 51, o qual apresentava perda de estrutura dentária, descoloração coronária e tratamento endodôntico prévio. O tratamento consistiu na confecção de um pino e faceta biológica e no acompanhamento clínico e radiográfico durante 1 ano. O uso da restauração biológica, com coroa e raiz naturais, neste caso, resultou em sucesso clínico, recuperando a função e a estética. A técnica biológica é uma alternativa promissória para restaurações protéticas em dentes decíduos com grande perda de estrutura.

The objective of this study was to present a case report of aesthetic and functional rehabilitation using biological post and facet in a devitalized primary central incisor. Patient, 4 years old, attended at Pediatric Dentistry clinic and the main complain was the aesthetic of element 51. It presented loss of tooth structure, crown discoloration and previous endodontic treatment. The treatment consisted of restoration with a biological post and facet. The tooth is being one year clinic and radiographically followed up. The use of biological restoration, with biological crown and root, in this case, resulted in clinical success recovering function and aesthetics. A biological technique is a promising alternative for prosthetic restorations in primary teeth with great loss of structure.

Epidemiologic survey of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil

This epidemiologic survey aimed at assessing the prevalence of traumatic dental injuries in children seen at the Federal University of Rio de Janeiro, Brazil. The records of a total of 111 children (aged 0 to 6 years) seen from 2004 to 2006 in the dental trauma clinic were surveyed, comprising a total of 201 traumatized primary teeth. Data pertaining to the child and to the trauma such as age, gender, etiology, teeth involved, type of traumatic injury, time elapsed between the trauma and seeking care, and the presence and kind of clinical and radiographic sequelae in the first visit were collected from the dental records. All variables studied were assessed by means of frequency analysis and the Chi-square test (p < 0.05). A higher prevalence of trauma was observed in boys (56.7 percent) and in the age group from 0-3 years (73.8 percent). The most affected teeth were the central incisors (84.7 percent) and the most common trauma etiology was a fall from the child's own height (63.0 percent). The supporting tissues were the most affected. Lateral luxation was the most frequent alteration observed (33.4 percent), followed by concussion (21.0 percent). Coronal discoloration (17.7 percent) and external resorption (18.3 percent) were, respectively, the most prevalent clinical and radiographic sequelae. Gender had no influence on the clinical (p = 0.54) and radiographic (p = 0.55) sequelae. Even though age had no influence on radiographic sequelae (p = 0.41), clinical sequelae were more prevalent in children aged 0 to 3 years (p = 0.03). In conclusion, traumatisms in primary teeth were more prevalent in boys, and in 0-3-year-old children. Luxation was the most frequent traumatic lesion, and coronal discoloration and external resorption were the most prevalent sequelae.