Conservative treatment for severe intrusion of primary teeth. Case report.

Abstract

Traumatic injuries in the primary dentition are one of the main reasons for pediatric dentistry consultation.Intrusive dislocations in the primary dentition are severe injuries in which the tooth moves axially towards the socket,causing tissue damage that can seriously affect the supporting tissues and successor teeth,and conservative treatment is recommended.Objective:to describe the outcome of conservative treatment for severe intrusion of a primary incisor.Case presentation:this is a 1 year and 10 month old male patient who attends the pediatric emergency area at El Centro Médico Docente la Trinidad for dentofacial trauma.At the time of the clinical examination,after the pediatric evaluation,it was observed that he presented a lacerating lesion in the gingiva of the anterosuperior sector with the absence of the primary upper central incisor (51). A radiographic examination confirmed the diagnosis of complete intrusive dislocation with a vestibular table fracture in the premaxilla and an uncomplicated enamel-dentin coronal fracture of 51.Topical disinfection of the area was performed,preventive antibiotic therapy, anti-inflammatories,oral hygiene and soft liquid diet were prescribed.The treatment of choice was conservative, waiting for spontaneous re-eruption for later restoration.Periodic controls were carried out in person and through teleodontology,showing favorable resolution. Twelve months after the trauma, the tooth reached the occlusion plane,with no symptoms.The aesthetic restoration was performed with light-cured composite. Conclusions:conservative management in cases of severe intrusive dislocations, accompanied by adequate monitoring,allows satisfactory results to be obtained.