Management of coronary fracture with pulp necrosis in a baby: a case report

Abstract

Introduction: Dental trauma is recognized as a public health problem and has a high impact on the primary dentition in the first two years of life. Among the most prevalent types of trauma in this age group are subluxations and fractures of enamel, enamel and dentin. Objective: To report a dental trauma in a baby that resulted in late pulp necrosis and stoppage of rhizogenesis in tooth 51. Case report: A 20-month-old baby attended the maternal and child clinic of the Faculty of Dentistry, ten months after falling own height in the home. The reported complaint involved sensitivity and color changes. The mother reported that there was no soft tissue laceration at the time of the fall, only gum bleeding. On clinical examination, a small 51 enamel fracture was diagnosed with color change and associated fistula. On radiographic examination, a periapical lesion was observed, with paralysis of root formation, compared to the contralateral. Considering the importance of maintaining the deciduous tooth in the oral cavity, the treatment performed was pulpectomy with minimal preparation for the creation of a direct composite resin veneer. Follow-up was carried out for two years, when the child had another accident leading to a root fracture, requiring extraction and space maintenance. Conclusion: The deciduous tooth is important as a guide for the permanent successor, in addition to its functional and aesthetic relevance.