Management of dental trauma of permanent upper centrals in a pediatric patient, follow-up at one month

Abstract

Introduction: Dento -alveolar traumatisms are injuries that can affect teeth, bones and supporting tissues, due to physical impact against them. They should always be considered stomatological emergencies. They present a prevalence in children and adolescents between 10.7 and 43.8%, being more frequent in boys than in girls with a 2:1 ratio. The peak incidence in permanent dentition is from 8 to 10 years, becoming a high risk during the root formation stage, being an important factor in the permanence of pulpal vitality for adequate development. Objective: To present a clinical case on the management of dental trauma in permanent upper centrals in a pediatric patient with a one-month follow-up to monitor pulp vitality. Case presentation: A 7-year-old male patient attends the Comprehensive Medical Care Center of the University of Guadalajara referring a direct trauma to the anterior sector 46 hours prior to his check -up. Observe tooth #11 with lateral dislocation, #21 fracture of the incisal edge with intrusive dislocation. Clinical and radiographic evaluation is performed, indicating monitoring at 4, 8 and 12 weeks. Conclusions: When a patient with late trauma is presented, the treatment plan becomes more complex, worsening his prognosis, where preserving pulpal vitality is important and essential during the immature stage of the root, because It is linked to complete root formation, and continuous assessment is necessary to evaluate the possibility of future endodontics and orthodontics.