Reabilitação estética e funcional após perda de incisivos permanentes

Abstract

Dental trauma is a frequent cause of loss of anterior teeth in children and adolescents, especially in males, with damage proportional to the intensity and duration of dental trauma, and to the stage of root development. This study aims to present a case report of a 9-year-old female, mesofacial, pattern I, victim of oral-dental trauma, which caused severe intrusion of teeth 11 and 12 and avulsion of teeth 31 and 41, whose plane of initial treatment was the repositioning of the upper teeth and the installation of inferior space maintainer. However, due to the severity of the trauma and the lack of attendance to the treatment, it was necessary to have teeth 11 and 12 and a new treatment plan with the autotransplantation of the tooth 25 for the region of the tooth 11, followed by its reanatomization in the upper central incisor and mesialization with orthodontic appliance of the tooth 13 followed by its reanatomization in the upper lateral incisor and reanatomization of the tooth 14 in the canine. Taking into account the aesthetic aspect, the superior canine to canine teeth were reanatomized in order to promote better smile harmony. The restorations were made with composite resin using the silicone guide. It can be observed that the dental autotransplantation associated with orthodontic treatment and the reanatomization of transposed teeth is a viable alternative in the treatment for loss of anterior teeth in young patients.