Emergência estética: um relato de reabilitação integrada

Resumo (EN)

The aesthetic and functional rehabilitation of patients with dental trauma may involve several specialties and treatment options. Rises the subject from a case where a female patient, 12 years, complaining of suffering humiliation due to anterior teeth fractured. Patient reported to have fallen to the ground, and 2 years over time the teeth were darkening and fracturing. She had pain localized, stimulated by chewing and palpation. Clinical examinations showed that there was an inadequate hygiene, gingivitis, crown fractures, impaired vitality of the elements 11, 21 and 22 and gingival hyperplasia. In periapical radiographs, it was possible to verify enough remaining tooth structure, but requiring surgery to increase the clinical crown to expose the cervical end of the preparation and ensure it does not invade the biological space. The therapeutic conduct adopted was: periodontal surgery to increase the clinical crown of all the upper anterior teeth and a new gingival contour; endodontic treatments on the elements 11, 21 and 22; cementing intracanal fiberglass pins on each element, and coronary reconstruction with resin compound. To support in the restorative procedure was performed a waxing gradually in a model and obtained a silicone matrix addition. During the treatment guidelines were given about oral hygiene and also motivational. After 60 days of periodontal surgery and 30 days of definitive restorative procedure, was checked an improvement of her oral hygiene and gingival health. The follow up of 12 months showed no changes in the restoration.