CHALLENGING AND SUCCESSFUL CONDUCT IN DENTOALVEOLAR TRAUMA: CASE REPORT

Abstract

The dentoalveolar trauma it is a frequent adversity to the heathy system, and it needs an early diagnosis and intervention. The severity of those lesions can diversify according to its classification, that goes from a simple enamel crack to dental avulsion and bone fractures. Therefore, the aim of the study is to report a clinical case of dentoalveolar trauma associated the fracture of the anterior bone block of the maxilla that was belatedly treated through bidigital reduction and splinting. Male patient, car accident victim, attended the emergency service four days after the trauma. During the maxillofacial physical exam, it was possible to observe mobility of the anterior maxillary block and lateral dislocation of the anterior teeth. On face tomography it was possible to analyze the presence of a fracture line at the vestibular board and palatine of the anterior region of the maxilla, as a lateral dislocation of the 12, 11, 21 e 22 units. Despite the long waiting period post trauma, the proposed treatment was a closed reduction, associated to semi-rigid containment, offering stability to the fractured segment and favorable conditions to the correct bone cicatrization. The initial management of dental trauma has a great influence on the prognosis; however, it was possible to observe through this case that the late treatment presents satisfactory results, helping to reestablish the patient’s function and aesthetics in a less invasive way.