Abordagem conservadora e multidisciplinar de traumatismo dentoalveolar associado à lesão em tecidos moles: relato de caso clínico

Abstract

Dentoalveolar trauma are hypotheses of dental urgency whose treatment is complex and requires a comprehensive and immediate approach, as it influences the individual's function and aesthetics, affecting their social behavior. The aim of this clinical case report is to describe a conduct of a case of dental trauma and soft tissue laceration, in addition to assessing the effectiveness of immediate intervention and the importance of multidisciplinary action in the treatment execution. The 14-year-old male patient attended the Dentistry Clinic III of the Faculty of Dentistry of the Federal University of Juiz de Fora, accompanied by the person in charge, to assess the urgency of dental trauma. During the clinical examination, a cut-blunt wound on the lower lip and coronary fractures on the central incisors without pulp exposure were noted. With regard to dental injury, we opted for immediate treatment with the sealing of coronary fractures to protect the dentinopulpar complex and restoration with composite resin to restore aesthetics. Regarding the soft tissue injury, the procedure was performed to search for foreign bodies and, subsequently, antisepsis, anesthesia, cleaning and suturing by layers. Thus, it is concluded that the initial clinical examination and the immediate treatment of trauma are essential for the preservation of traumatized teeth. The dentist plays a key role in the diagnosis, treatment and prognosis of trauma. In addition, the need for a multidisciplinary approach is highlighted, in order to guarantee clinical success in resolving dental trauma and soft tissue injuries.