TRATAMENTO DE SEQUELAS DE TRAUMATISMO DENTÁRIO SEVERO NA DENTIÇÃO DECÍDUA E MISTA

Abstract

Dental trauma in childhood is a frequent condition of great clinical relevance, given its potential to produce aesthetic, functional, and emotional repercussions in the patient's life. This study reports the clinical case of a patient who experienced two distinct episodes of dental trauma: the first, at six years of age, involving the primary tooth 61 and may be resulted in root dilaceration of the permanent tooth 21; the second, at eleven years of age, causing extensive coronal fractures with pulp exposure in teeth 11 and 22. The anatomical complexity arising from the root dilaceration, combined with the functional and aesthetic consequences of the crown fractures, required a multidisciplinary treatment plan involving pediatric dentistry, endodontics, restorative dentistry, and orthodontics. The treatment included dentin desensitization, multi-session pulpectomy, provisional aesthetic restorations, orthodontic traction to correct crossbite of tooth 21, remove premature contact, and achieve dental alignment with fixed orthodontic appliances. The conservative approach allowed preservation of pulp vitality, restoration of aesthetics during a critical stage of child development, and maintenance of functional stability. This case highlights the importance of early diagnosis, interdisciplinary management, and continuous clinical and radiographic follow-up, especially in young patients whose teeth present a history of trauma and a higher risk of late complications.