Combination of dentoalveolar traumatic injury: a case report (10-year follow-up)

Jacqueline Dolphine Grenier; Marcos Sergio Endo; Joana Yumi Teruya Uchimura; Elen de Souza Tolentino; Nair Narumi Orita Pavan

doi:10.14295/bds.2015.v18i4.1141

Authors

Jacqueline Dolphine Grenier Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.
Marcos Sergio Endo Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.
Joana Yumi Teruya Uchimura Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.
Elen de Souza Tolentino Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.
Nair Narumi Orita Pavan Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

DOI:

https://doi.org/10.14295/bds.2015.v18i4.1141

Abstract

Tooth Injury comprises a group of clinical conditions that can have the separation or breakage of the tooth and its surrounding tissues. A case of multiple concomitant dental trauma is reported. In 2004, a female patient, 11 years old, visited the dental office a half hour after a dental trauma caused by a fall in the pool. She complained of mild discomfort in the tooth 11; in a clinical analysis, it was partially displaced from its socket and showed grade 2 mobility; in a radiographic analysis, the tooth showed an increase in the periodontal ligament space, a diagnosis of extrusive luxation. The adjacent teeth 21 and 22, presented subgingival bleeding, diagnosed with subluxation. After preparing the treatment plan, clinical approach consisted of manual reduction of the tooth 11 and non-rigid splint of affected teeth. The patient received a prescription of antibiotic and anti-inflammatory. After 15 days, the splint was removed and the teeth 11, 21 and 22 showed pulpal sensibility, maintaining the same results for 4 months. In the 4^th month, tooth 11 was diagnosed with pulp necrosis, thus requiring endodontic treatment. After 10 years, teeth were asymptomatic, with a slight color change in tooth 11; the cone beam scan indicated root resorption in the apical third of the three elements and the presence of dystrophic calcification of teeth 21 and 22. In conclusion, the injured teeth remain in function with relevant follow-up period, highlighting the search for a response, upon the purpose of the study.

Author Biographies

Jacqueline Dolphine Grenier, Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

Graduanda em Odontologia, Departamento de Odontologia, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.

Marcos Sergio Endo, Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

Doutor em Endodontia, Departamento de Odontologia, Área de Endodontia, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.

Joana Yumi Teruya Uchimura, Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

Mestre em Clínica Integrada, Departamento de Odontologia, Área de Endodontia, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.

Elen de Souza Tolentino, Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

Doutora em Estomatologia, Professora Assistente, Departamento de Odontologia, Área de Radiologia e Estomatologia, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.

Nair Narumi Orita Pavan, Department of Dentistry – Health Science Center – State University of Maringá – Maringá – PR – Brazil.

Doutora em Ciências Farmacêuticas, Professora Adjunta, Departamento de Odontologia, Área de Endodontia, Universidade Estadual de Maringá, Maringá, Paraná, Brasil.