Traumatismo na dentição decídua – diagnóstico, prognóstico e acompanhamento de um caso
Resumo
Na última década os traumatismos alvéolo-dentários têm sido reconhecidos como problemas de saúde pública. Os traumatismos da dentição decídua podem apresentar tanto perdas do elemento dentário decíduo quanto danos à dentição permanente. As crianças são mais susceptíveis aos traumatismos alvéolo-dentários, e os dentes mais afetados são os incisivos centrais superiores. Dessa forma, o objetivo deste estudo foi relatar um caso clínico de traumatismo dentário, onde um paciente do sexo masculino, 3 anos e 6 meses de idade, sofreu trauma dos incisivos centrais superiores decíduos. Sendo avaliados no momento do trauma, os dentes apresentaram leve mobilidade e sangramento marginal, havendo ainda edema e lacerações labiais. Foi estabelecido o acompanhamento clínico e radiográfico do caso e após nove meses de controle, apesar do escurecimento das coroas dentárias, o tratamento endodôntico foi descartado e o paciente continuará sendo acompanhado até que ocorra a exfoliação dos elementos dentários que sofreram traumatismo e o irrompimento dos respectivos sucessores permanentes possa ser observado. Por meio de um correto diagnóstico é possível manter o elemento dentário traumatizado na cavidade bucal, sem intervenções invasivas, facilitando a recuperação psíquica do paciente e dos pais após o trauma preservando os elementos dentários decíduos com sua função e estética únicas
Descritores: Dente Decíduo; Dentição Permanente; Traumatismos Dentários.
Downloads
Referências
Glendor U. Epidemiology of traumatic dental injuries--a 12 year review of the literature. Dent Traumatol. 2008;24:603–11.
Chopra A, Lakhanpal M, Rao N, Gupta N, Vashisth S. Traumatic dental injuries among 12-15-year-old-school children in panchkula. Arch Trauma Res. 2014;30;3:e18127.
Zaleckiene V, Peciuliene V1, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija. 2014;16:7-14.
de Vasconcelos Cunha Bonini GA, Marcenes W, Oliveira LB, Sheiham A, Bönecker M. Trends in the prevalence of traumatic dental injuries in Brazilian preschool children. Dent Traumatol. 2009;25:594-8.
Costa FW, de Oliveira EH, Bezerra MF, Nogueira AS, Soares EC, Pereira KM. Dental trauma: knowledge and attitudes of community health workers. J Craniofac Surg. 2014;25:e490-5.
Silva MB, Costa AMM, Almeida ME, Cruz-Maia SA, Carvalhal CIO, Resende GB. Avaliação do conhecimento da abordagem de trauma dental pelos profissionais de creche. ConScientiae Saúde. 2009;8:65-73.
Caprioglio A, Salone GS, Mangano C, Caprioglio C, Caprioglio D. Intrusive luxation of primary upper incisors and sequelae on permanent successors: a clinical follow-up study. Eur J Paediatr Dent. 2014;15:101-6.
Firmino RT, Siqueira MB, Vieira-Andrade RG, Gomes GB, Martins CC, Paiva SM, Granville-
Garcia AF. Prediction factors for failure to seek treatment following traumatic dental injuries to primary teeth. Braz Oral Res. 2014;28.
Makeeva I, Sarapultseva M, Sarapultsev A. Prevalence of primary tooth traumatic injuries among children in a large industrial centre of Russian Federation. Eur Arch Paediatr Dent. 2014;27. [Epub ahead of print]
Robson F, Ramos-Jorge ML, Bendo CB, Vale MP, Paiva SM, Pordeus IA. Prevalence and determining factors of traumatic injuries to primary teeth in preschool children. Dent Traumatol. 2009;25:118–22.
Malmgren B, Andreasen JO, Flores MT, Robertson A, DiAngelis AJ, Andersson L, Cavalleri G, Cohenca N, Day P, Hicks ML, Malmgren O, Moule AJ, Onetto J, Tsukiboshi M; International Association of Dental Traumatology. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 3. Injuries in the primary dentition. Dent Traumatol. 2012;28:174-82.
Andreasen JO, Andreasen FM, Andersson L. Text book and color atlas of traumatic injuries to the teeth. 4. Oxford UK: Blackwell publishing; 2007. p. 219.
Atabek D, Alaçam A, Aydintuğ I, Konakoğlu G. A retrospective study of traumatic dental injuries. Dent Traumatol. 2014;30:154-61.
Skaare AB, Maseng Aas AL, Wang NJ. Enamel defects in permanent incisors after trauma to primary predecessors: inter-observer agreement based on photographs. Dent Traumatol. 2013;29:79-83.
Da Silva Assunção LR, Ferelle A, Iwakura ML, Cunha RF. Effects on permanent teeth after luxation injuries to the primary predecessors: a study in children assisted at an emergency service. Dent Traumatol. 2009;25:165-70.
Topouzelis N, Tsaousoglou P, Pisoka V, Zouloumis L. Dilaceration of maxillary central incisor: a literature review. Dent Traumatol. 2010;26:427-33.
Giannetti L, Murri A, Vecci F, Gatto R. Dental avulsion: therapeutic protocols and oral health-related quality of life. Eur J Paediatr Dent 2007;8:69–75.
Needleman HL. The art and science of managing traumatic injuries to primary teeth. Dent Traumatol 2011;27:295–9.
Holan G, Needleman HL. Premature loss of primary anterior teeth due to trauma--potential short- and long-term sequelae. Dent Traumatol. 2014;30:100-6.
American Academy of Pediatrics. Policy statement-health equity and children’s rights. Pediatrics 2010;125:838–49.
Hasan AA, Qudeimat MA, Andersson L. Prevalence of traumatic dental injuries in preschool children in Kuwait-a screening study. Dent Traumatol 2010;26:346-50.
Veire A, Nichols W, Urquiola R, Oueis H. Dental trauma: Review of common dental injuries and their management in primary and permanent dentitions. J Mich Dent Assoc 2012;94:41-5.
Patel R, Miner JR, Miner SL. The need for dental care among adults presenting to an urban ED. Am J Emerg Med 2012;30:18-25.
Yassen GH, Chin JR, Al-Rawi BA, Mohammedsharif AG, Alsoufy SS, Hassan LA, et al. Traumatic injuries of permanent teeth among 6- to 12-year-old Iraqi children: A 4-year retrospective study. J Dent Child. 2013;80:3-8.
Sari ME, Ozmen B, Koyuturk AE, Tokay U, Kasap P, Guler D. A retrospective evaluation of traumatic dental injury in children who applied to the dental hospital, Turkey. Niger J Clin Pract. 2014;17:644-8.
Costa VP, Bertoldi AD, Baldissera EZ, Goettems ML, Correa MB, Torriani DD. Traumatic dental injuries in primary teeth: Severity and related factors observed at a specialist treatment centre in Brazil. Eur Arch Paediatr Dent. 2014;15:83-8.
Folaranmi N, Akaji E, Onyejaka N. Pattern of presentation of oral health conditions by children at University of Nigeria Teaching Hospital, Enugu: A retrospective study. Niger J Clin Pract 2014;17:47-50.
Jorge KO, Moyse´s SJ, Ferreira e Ferreira E, Ramos-Jorge ML, de Arau´ jo Zarzar PM. Prevalence and factors associated to dental trauma in infants 1-3 years of age. Dent Traumatol 2009;25:185-9.
Díaz JA, Bustos L, Brandt AC, Fernández BE. Dental injuries among children and adolescents aged 1-15 years attending to public hospital in Temuco, Chile. Dent Traumatol 2010;26:254-61.
Kargul B, Caglar E, Tanboga I. Dental trauma in Turkish children, Istanbul. Dent Traumatol 2003;19:72-5.
