Minimum intervention in dental trauma: long-term case report.

Abstract

Introduction: Dental trauma is a public health problem and affects a large number of school-age children. The cases are consequences of frontal impacts due to falls, car or sports accidents, and violence. In cases of pulp exposure in immature teeth, it is necessary to maintain the vitality of the pulp and immediate care accompanies a better prognosis. Objective: to report a clinical case of trauma with crown fracture with pulp exposure in a young permanent tooth with incomplete rhizogenesis. Case report: an eight-year-old male child presented himself and his mother to the Dental School Clinic (Brazil), three days after the accident, bringing the tooth fragment. The trauma caused a complicated crown fracture in tooth 11, in addition to adjacent injuries. The treatment was pulpotomy, due to the incomplete rhizogenesis and vitality of the pulp tissue. The fragment was glued to the remainder and the child continued clinical and imaging follow-up at the first month, at three and six months in the first year. He was monitored every semester for six years. Currently, annual monitoring is still carried out. Conclusions: The proposed treatment made it possible to maintain pulp vitality and complete rhizogenesis, providing favorable and aesthetic results. Professionals must be able to execute dental trauma care protocols so that they can provide an efficient and successful outcome..