Fusion of permanent teeth as post-traumatic sequelae of trauma in primary dentition: A case report with fifteen years of follow-up

Traumatic dental injuries in primary dentition present risk of sequelae in the permanent dentition. In this case report, we describe the management and long term follow-up of sequelae affecting permanent central incisor due to prior intrusive luxation and subluxation of the corresponding primary tooth. A 5-year-boy was referred for treatment, with history of fall by the age of 21 months, which caused subluxation of the primary maxillary right and left central incisors, and intrusion of the maxillary right lateral incisor. Radiographic and clinical monitoring was regularly performed. Hypoplasia and crown dilaceration of the permanent maxillary right central incisor was detected, as well as an enamel bridge between the central and lateral right incisors was diagnosed by cone bean tomography. Gingevectomy followed by the breaking of the enamel junction between the crowns of lateral and central incisors and indirect facet in composite resin were used to treat the sequelae. A precise diagnosis, involving a multidisciplinary team, contributed to the success of treatment. Key words:Case reports, follow-up studies, pediatric dentistry, tooth, deciduos, complications.