Abordagem multidisciplinar após fratura dentária na região anterior: relato de caso clínico.

Abstract

In clinical practice, situations where there is tooth fracture and the margin is subgingival are common, requiring a multidisciplinary approach. This study aimed to report a case where it was possible to recover the biological width of a fractured tooth, through a periodontal surgery to favor the subsequent prosthetic rehabilitation using a free metal crown. Patient MEMR, 18, leucoderma, female and without systemic involvement, looked for the Clinic- School of Dentistry at the Federal University of Campina Grande / UFCG with complaint in smile esthetics. During the anamnesis the patient reported having fractured the element 11, which was submitted to slow orthodontic traction, and presented with a temporary crown with cervical infiltration and unsatisfactory coloring. At the clinical and radiographic examination was diagnosed biological space invasion, and after multidisciplinary planning it was performed biological space recovery surgery by the technique of apical repositioning flap with osteotomy because the patient had few keratinized mucosa. A new temporary crown, previously obtained through study model, was cemented during surgery favoring aesthetics. After periodontal surgery, the correct gingival conditioning and maintenance of biological width surgically established enabled the rehabilitation with a total metal free crown. At the completion of the case, it could be seen that there has been success in the treatment proposed by the multidisciplinary team. In this way, we emphasize the importance of knowing and respect the biological distances as well as the correct diagnosis and treatment plan when its violation.