Tratamento odontológico multidisciplinar de um incisivo lateral com má formação: relato de caso clínico

Abstract

Intrusive trauma in the primary dentition frequently results in developmental anomalies of permanent teeth. The crown dilaceration of a permanent tooth corresponds to 3% of the traumatic lesions in the developing teeth and generally involves the upper incisors. For these cases, composite resin restorations provide excellent results to restore aesthetics and function. The objective of this case was to describe a multidisciplinary approach to the treatment of a young patient for the aesthetic correction of the dental element 22 with a crown dilaceration, which erupted in a palatal position due to the prolonged retention of its deciduous predecessor, which is suspected to have suffered a dental intrusion. Treatment consisted in the extraction of the deciduous tooth, followed by a first phase using fixed orthodontic appliance elements 13 to 23 and a Langlade in-box handle installed in the tooth 22 to bring it to its correct position. In the second phase of the rehabilitation, the reanatomization of the anomalous tooth with composite resin was done using a guide of silicone and previous laboratory waxing. The result of the rehabilitation achieved a high degree of patient satisfaction, returning the aesthetics and the harmony of the smile.