RESUMO
Dental traumatic injuries occur frequently in children. The close relationship between the apices of primary teeth and germ of the permanent successors can lead to developmental disturbances in the permanent dentition. Developmental disorder can occur in any tooth. One of the most common teeth affected is lateral incisor. These developmental anomalies can cause various clinical problems. Clinical and radiographic characteristics of these anomalies may sometime present confusing picture. Therefore, recognition of this condition, early diagnosis, and treatment are important to avoid complications. High prevalence of dental trauma in young children emphasizes the need of educational and preventive programs in schools. Dentist plays important role in early diagnosis of disturbances in the permanent successor teeth by rigorous clinical and radiographic follow-up examination.
RESUMO
OBJECTIVE: The present paper highlights a case where the patients presented with spacing in the upper anterior region due to missing right lateral and peg shaped left lateral incisor. METHOD AND RESULTS: The initial treatment was standard edgewise fixed orthodontic appliance to distalize the canine, correct the bite and create space for the lateral incisors and correct the midline. CONCLUSION: After the active phase of fixed orthodontic treatment, an implant was placed and the peg shaped lateral incisor was built up with composite.
OBJETIVOS: O presente artigo refere-se a um caso em que o paciente apresentava espaços na região anterior da maxila devido à ausência de incisivo lateral direito e incisivo lateral esquerdo com coroa deformada. MÉTODO E RESULTADO: O tratamento inicial foi ortodontia fixa (edgewise) para distalizar o canino, corrigir a mordida e criar espaço para o incisivo lateral e corrigir a linha média. CONCLUSÃO: Após a fase ativa da ortodontia, utilizou-se um implante adequado na região do lateral direito e reconstruiu-se a coroa deformada do incisivo lateral esquerdo com compósito.