Case 3
An 8-year-old girl attended Pediatric Dentistry
Clinic complaining about a pain related to the left
upper central incisor during ingestion of foods and
drinks, mainly cold ones. Her second complaint
was regarding the lack of aesthetic that the tooth
presented (figure 3A, B). During anamnesis her
mother reported that she suffered a dental trauma
on her primary predecessor when she was 4 years
old in which the tooth “came completely into thegingiva”. That primary tooth was extracted days
after the trauma episode. Clinically, the permanent
tooth showed a yellowish-brownish color, with
depressions in the enamel surface and in dentin,
with a large area of dentin exposed directly to the
oral environment. The enamel defect was protected
with glass ionomer cement and it was performed a
tooth cleaning procedure and fluoride application
before referring the patient to the Operative Dentistry
Clinic in order to restore completely the aesthetic
of the tooth (figure 3C, D).