Repositioning of the Fragment of the Crown of a Tooth Separated by Dental TraumaLuis A. Jeffers Duarte

Abstract

The conservation of the dental tissues is the primary purpose of the dental profession; A serious threat to this objective is the treatment of dental trauma and its supporting tissues. The dangerous effects of these injuries often result in the loss of teeth, which causes problems of aesthetics and function in the patients. Epidemiological studies conducted in different countries indicate that dental injuries are progressively increasing in recent years as a result of changes introduced in the modern lifestyle and are considered as the second cause of dental care, attributable mainly to motor vehicle accidents, physical activity and sports practice. From early times, injuries caused to the oral complex by trauma motivated the wisdom of those dedicated to solving the physiological limitations that they caused. It was then that man created the most unsuspected techniques to solve this problem. It can be assured that the concern for injuries caused by trauma to the oral complex is as old as the evidence of the profession itself. The scheduled treatment of traumatic lesions of the teeth can encompass a wide range of therapeutic procedures such as polishing the sharp edges to avoid lacerations on the tongue and lips, coating the pulp with calcium hydroxide, and resin restorations. The immediate treatment of traumatized teeth is the key to success and is of extraordinary importance for the rehabilitation of the patient. In the case presented, the fractured fragments of the upper central incisors were replaced in a 12-year-old patient, and at 27 months there was no evidence of damage to the pulpal, periapical or periodontal tissues. It is concluded that when the fragment is from the same dental tissue, there is no possibility of rejection and the dentists can carry it out each time the patient retains the fragment of the fractured tooth.