ABSTRACT
ABSTRACT: Intrusive dislocation is an unusual and severe trauma, where the tooth is displaced axially into the alveolar bone, causing damage to the periodontal and pulpal tissues. The objective was to report a case of intrusive dislocation on a right maxillary central incisor of a 12-year-old patient, where the proposed treatment was immediate surgical repositioning. Clinical and radiographic examination revealed partial tooth intrusion and complete root formation. The impacted tooth was surgically repositioned and immobilized. Subsequently, the endodontic treatment of the tooth associated with intracanal medication was performed. After 10 months of successive calcium hydroxide changes, the root canal system was filled. Clinical-radiographic follow-ups were performed over 5 years and 7 months, revealing discrete root resorption. It was concluded that immediate surgical repositioning, associated with adequate root canal therapy may be an effective therapeutic option in cases of intrusive dislocation of permanent teeth.
RESUMEN: La luxación intrusiva es un trauma inusual y severo, en el que el diente se desplaza axialmente hacia el hueso alveolar, causando daño a los tejidos periodontales y pulpares. El objetivo fue informar un caso de luxación intrusiva en un incisivo central superior derecho de un paciente de 12 años, donde el tratamiento propuesto fue el reposicionamiento quirúrgico inmediato. El examen clínico y radiográfico reveló una intrusión dental parcial y la formación completa de la raíz. El diente afectado fue reposicionado e inmovilizado quirúrgicamente. Posteriormente, se realizó el tratamiento endodóntico del diente asociado con la medicación intracanal. Después de 10 meses de sucesivos cambios de hidróxido de calcio, se llenó el sistema de conductos radiculares. Los seguimientos clínico-radiográficos se realizaron durante 5 años y 7 meses, revelando la resorción discreta de la raíz. Se concluyó que el reposicionamiento quirúrgico inmediato, asociado con la terapia adecuada del conducto radicular, puede ser una opción terapéutica efectiva en casos de luxación intrusiva de dientes permanentes.
Subject(s)
Humans , Male , Child , Tooth Injuries/surgery , Tooth Injuries/diagnostic imaging , Orthognathic Surgical Procedures , Tooth Avulsion/surgery , Tooth Avulsion/diagnostic imaging , Radiography, Dental , Dentition, Permanent , IncisorABSTRACT
Introdução: o conhecimento da importância dos cuidados em saúde bucal é deficiente em âmbito escolar, ressalta-se que jovens capacitados, partilham o aprendizado assumindo papel importante na sociedade. Objetivos: capacitação de estudantes para difusão do conhecimento sobre cuidados em saúde bucal. Os temas de higienização dentária/prótese dentária e/ou implantossuportadadas e manejo após o traumatismo dentário foram abordados em escola pública. Métodos: Inicialmente, houve avaliação do conhecimento prévio dos alunos (n=25) por meio de questionários de saúde bucal, os questionários (GOHAI, higienização oral e de prótese dentária e manejo de traumatismo dentário) foram aplicados na sala de aula com supervisão. Em um próximo momento houve o treinamento dos discentes por palestras e material didático. Finalmente, após 2 meses do ciclo de formação os questionários foram aplicados novamente. Os dados foram tabulados e e análise estatística considerou o valor significativo para p<0,05, a fim de verificar o conhecimento adquirido durante o treinamento de todos os estudantes. Resultados: Identificou se pós-oficina que os jovens estavam mais satisfeitos com a aparência da boca (p<0,05). Nos questionários de higienização de próteses dentárias houve a conscientização do tempo para substituição das mesmas. Para o reimplante dentário, houve significativa percepção dos alunos como possibilidade de terapia real (p=0,016), após a realização das oficinas. Conclusão: com base nos dados, a proposta de promoção em saúde bucal para os adolescentes foi eficiente, e mais eventos (oficinas) com esta finalidade devem ser realizados em escolas de ensino médio.
Introduction: the knowledge of the importance of oral health care is deficient in the school environment, it is emphasized that empowered young people share learning, assuming an important role in society. Objectives: This study aimed to enable the training of students to disseminate knowledge about oral health care. The subjects of dental hygiene / dental prosthesis and / or implant supported and management after dental trauma were addressed in a public school. Methods: Initially, the students' prior knowledge (n = 25) was assessed through oral health questionnaires, the questionnaires (GOHAI, oral and dental hygiene and dental trauma management) were applied in the classroom with supervision. In a next moment there was the training of the students by lectures and didactic material. Finally, after 2 months of the training cycle, the questionnaires were applied again. Data were tabulated and statistical analysis considered the value significant for p students. Results: It was identified after the workshop that young people were more satisfied with the appearance of the mouth (p<0,05).In the dental prosthesis cleaning questionnaires, there was a time awareness for their replacement. For dental replantation, there was significant perception of students as a possibility of real therapy (p = 0.016), after the workshops. Conclusion: Based on the data, the proposal for oral health promotion for adolescents was efficient, and more events (workshops) for this purpose should be held in high schools.
Subject(s)
Humans , Male , Female , Adolescent , Oral Health , Health Promotion/methods , Time Factors , Tooth Avulsion , Tooth Replantation , Health Knowledge, Attitudes, Practice , Surveys and Questionnaires , Tooth Injuries/surgery , Dentition , Emotions , Physical Appearance, BodyABSTRACT
La reimplantación dentaria ha sido uno de los procedimientos más exigente de rigor y precisión en cuanto a las condiciones que deben existir para lograr el éxito esperado. El propósito de esta presentaciòn es mostrar la evolución y tratamiento del auto-implante del incisivo lateral superior izquierdo, 72 horas después de avulsionado. Se trata de paciente masculino de 18 años de edad, con antecedentes de salud. Acude a consulta luego de tres días de avulsionado el incisivo lateral superior izquierdo por trauma. Se le explicó al paciente el posible fracaso del tratamiento por el tiempo transcurrido, puesto que la inmediatez con que sea tratado favorece el éxito. Se le realizó el reimplante dentario y ferulizó. Se realizó el tratamiento endodóntico al diente en dos sesiones de una semana entre ellas. Se realizaron evoluciones trimestrales y luego semestrales. Casi cinco años después, la evidencia radiográfica no muestra complicaciones existentes y clínicamente presenta una apariencia normal. Los resultados obtenidos fueron satisfactorios y después de cinco años el paciente se mantiene con su diente en boca completamente asintomático(AU)
The dental re-implantation is one of the procedures demanding most rigor and precision in terms of the conditions required to achieve the expected success. Our purpose is to present the evolution and treatment of a case of auto-implantation of the upper left lateral incisor 72 hours after avulsion. The patient was a male 18 year-old with a history of ill health presents three days after avulsion of the upper left lateral incisor as a result of trauma. The patient was informed of the possible failure of the treatment due to the time elapsed. In cases such as this one, immediate treatment is essential to achieve success. Dental re-implantation and ferulization were performed. The tooth was treated endodontically on two visits one week apart. Checkups were conducted which were quarterly at first and then biannual. Almost five years later, radiographic evidence shows no complications and clinical appearance is normal. The results were satisfactory. The patient has preserved his tooth for five years and his status is totally asymptomatic(AU)
Subject(s)
Humans , Male , Adolescent , Tooth Replantation/methods , Tooth Injuries/surgery , Incisor/injuries , Tooth Avulsion/surgeryABSTRACT
El presente artículo reporta el caso clínico del traumatismo dentario de un paciente de 14 a±os de edad de sexo masculino con Parßlisis Cerebral Espßstica post-natal, que sufre una caída frontal produciéndose fractura coronaria con exposición pulpar del incisivocentral superior derecho y movilidad de la pieza dentaria por rotura de ligamento periodontal, fue tratado bajo anestesia general en centro quirúrgico realizando tratamiento de endodoncia e instalación de corona completa de acrílico como tratamiento restaurador.
The present article reports the Clinical case of a dental trauma in a 14 year-old male patient, with Post-birth Cerebral Spastic Palsy, who suffered a fall that produces a coronal fracture of an upper central incisor with pulp exposure, and mobility due to breakage of the periodontal ligament. The tooth was treated under general anesthesia in a surgical center; an endodontic treatment and a full acrylic crown were performed.
Subject(s)
Humans , Male , Adolescent , Dental Pulp Exposure , Cerebral Palsy , Tooth Injuries/surgery , Tooth Injuries/therapyABSTRACT
É comum, nos serviços de urgência, a presença de pacientes vítimas de traumatismo dentoalveolar. Para chegarmos a um correto diagnóstico, é necessário conhecer como são classificados estes traumatismos e quais são as estruturas envolvidas. Uma boa anamnese, um bom exame clínico e exames complementares são indispensáveis na instituição de um plano de tratamento rápido e adequado. O acompanhamento pós-operatório é de fundamental importância para o prognóstico.
Subject(s)
Tooth Injuries/surgery , Tooth Injuries/diagnosisSubject(s)
Surgery, Oral , Anesthesia, Local , Biopsy , Odontogenic Cysts/surgery , Postoperative Care/methods , Preoperative Care/methods , Diagnosis, Differential , Diagnostic Imaging/methods , Tooth Extraction/classification , Tooth Extraction/methods , Salivary Glands/surgery , Hyperplasia , Infusion Pumps, Implantable , Maxillofacial Injuries , Tooth, Impacted , Tooth, Unerupted , Tooth Injuries/surgery , Odontogenic Tumors/surgery , Odontogenic Tumors/pathologySubject(s)
Endodontics , Tooth Injuries/surgery , Tooth Injuries/classification , Tooth Injuries/diagnosis , Tooth Injuries/etiology , Tooth Injuries/therapy , Dental Pulp Capping/methods , Dentistry , Dental Pulp Diseases/classification , Dental Pulp Diseases/diagnosis , Dental Pulp Diseases/pathology , Dental Pulp Diseases/therapy , Emergencies , Calcium Hydroxide/chemistry , Calcium Hydroxide/therapeutic use , Tooth Movement Techniques/methods , Root Canal Obturation/methods , Periapical Abscess , Root Resorption/surgery , Root Resorption/therapy , Root Canal Irrigants , Root Canal Preparation , Root Canal Therapy , Sports , Tooth ResorptionABSTRACT
O presente artigo relata um caso de transposiçäo dentária na dentiçäo permanente, no qual o canino superior direito assumiu posiçäo transposta em relaçäo ao incisivo lateral superior do lado correspondente, erupcionando ectopicamente na regiäo de incisivo central superior direito, que havia sido extraído por apresentar grave defeito de formaçäo