Subluxation Associated with Soft Tissue Trauma in a Pediatric Patient: Clinical Case Report

Dental traumas are seen in the literature as injuries that are caused by impacts on the teeth and/or hard and soft tissues inside or outside the oral cavity. The objective herein is to report the technique performed at the Amazonas State University on a 3-year-old patient, who had necrotic tissue in the anterior region of alveolar and gingival mucosa, due to trauma suffered in this region 14 days previously. Radiographically, the dental elements showed no impairment. First, scraping of necrotic tissue was performed, which resulted in severe exposure of periosteal tissue, followed by tissue synthesis by suturing and the application of surgical cement for the purpose of cicatricial stimulation. The elements 51 and 61 presented mobility, thus semi-flexible containment were performed for stabilization of the elements. The follow-up was carried out over a period of 12 months, and it was concluded that the therapeutic approach was the correct one for the case of dentoalveolar trauma as described above. Emphasis of the importance of the collaboration of those responsible for the child’s oral hygiene and good immune response of the patient resulted in an effective treatment with favorable outcome.