Tratamento e sequelas na luxação intrusiva de dentes deciduos em pacientes odontopediátricos: revisão integrativa da literatura

Abstract

INTRODUCTION: Dental trauma is a public health problem and can involve both primary and permanent dentition. Trauma that leads to dental intrusion is called intrusive luxation and corresponds to an apical displacement of the traumatized tooth deep within the alveolus and requires special attention from the pediatric dentist. Intrusive luxation can be classified as grade I, II and III depending on how much the tooth was intruded, whether partially or totally within the patient's bone structures. Seeking care must be rapid after trauma and late management conditions end up becoming a challenge in clinical practice in pediatric dentistry. OBJECTIVE: To present an integrative review of the literature on intrusive luxation trauma in pediatric patients. METHODOLOGY: This study consists of a literature review in which a search for scientific articles was performed in the Pubmed electronic database, using two methods: convenience search and search using pre-determined Mesh Terms, namely: Dental intrusion; Dental displacement; Child; Treatment. Articles from the last 20 years were selected. No language-related filters were applied. The main results were analyzed, discussed and tabulated by three reviewers. RESULTS: Conservative treatments such as monitoring of spontaneous re-eruption were effective in most cases read, with extraction being indicated only in severe cases, especially when re-eruption does not occur. CONCLUSION: Early diagnosis and monitoring are essential to prevent major problems and maintain the function and aesthetics of the tooth, avoiding possible sequelae for future dentition.