Intrusão severa do dente 51 com deslocamento para a cavidade nasal – relato de caso clínico

Abstract

Intrusive dislocation is characterized by the axial displacement of a tooth towards the alveolus, it represents one of the main types of trauma that affect the deciduous dentition, and can cause damage to the pulp, periodontal ligament, gingival tissue, alveolar bone, in addition to bringing possible sequelae to the dentition. permanent dentition. When it comes to a total intrusion, its diagnosis can be confused with avulsion if a good clinical and radiographic examination is not performed, interfering with the prognosis of the case. Thus, the objective of this work is to report a clinical case of severe intrusive dislocation, as well as to discuss the correct diagnosis, management of the case and the possible sequelae for the permanent tooth. The reported clinical case consists of a severe intrusion with displacement to the nasal cavity in a pediatric patient who, due to the severity of the displacement and the late diagnosis, made the treatment performed to extract the element, since the chances of spontaneous and orthodontic traction did not represent viable options and the situation presented risks for the child. When there is a trauma in the primary dentition, it is possible that sequelae may occur both in the primary and in the permanent dentition itself, since the development and mineralization of the permanent incisors occur from 0 to 3 years of age. Therefore, in view of the above, it is essential that the diagnostic process is carried out properly so that the correct management of the case occurs, favoring the prognosis.