Ferraresso Lucas Fernando Oliveira Tomáz, Küster Isabele, Besegato João Felipe, Pfau Eduardo Augusto, Hoeppner Márcio Grama
Gen Dent. 2023 Sep-Oct;71(5):64-69.
Dental trauma in primary teeth can cause irreversible changes in the development of permanent tooth germs, including enamel hypoplasia, crown dilaceration, and root dilaceration. This article discusses multidisciplinary treatment of enamel hypoplasia and root dilaceration in the maxillary left central incisor of an 11-year-old girl. A 10-year follow-up is reported to demonstrate the long-term clinical outcomes. At the initial presentation, the patient's mother reported that the child had an accident at the age of 2 years, resulting in intrusive luxation of the primary maxillary left central incisor. After the accident, the patient was monitored for eruption of the permanent successor tooth, and different approaches were proposed during each period of the patient's development on the basis of the clinical diagnosis of root dilaceration and enamel hypoplasia. The crown was restored with composite resin, and the root defect was restored with resin-modified glass ionomer cement. After 10 years, the clinical outcomes highlight that the multidisciplinary approach was successful in preserving the natural tooth with good periodontal health conditions.
乳牙外伤可导致恒牙胚发育出现不可逆变化,包括釉质发育不全、冠部弯曲和根部弯曲。本文讨论了一名11岁女孩上颌左侧中切牙釉质发育不全和根部弯曲的多学科治疗。报告了10年的随访情况,以展示长期临床结果。初诊时,患者母亲报告孩子在2岁时发生意外,导致上颌左侧乳中切牙嵌入性脱位。事故发生后,对患者恒牙的萌出情况进行了监测,并根据根部弯曲和釉质发育不全的临床诊断,在患者发育的每个阶段提出了不同的治疗方法。用复合树脂修复牙冠,用树脂改性玻璃离子水门汀修复根部缺损。10年后的临床结果表明,多学科治疗方法成功保留了天然牙,牙周健康状况良好。