CLINICAL CASE: TREATMENT OF DENTAL INJURY IN A CHILD WITH CLASS II DIVISION 1 DENTAL MALOCCLUSION AND PROMINENT OF THE UPPER INCISORS

The aim of the study is to present the results of complex treatment of a child with class II division 1 dental malocclusion after traumatic dental injuries of the upper incisors. Materials and methods. The child was treated in the Clinical Department № 1 of the Dental Clinic of the Ural State Medical University in Yekaterinburg. Results. The patient's treatment lasted for 6 months, during the treatment conditions were created for the continuation of the physiological growth and development of the tooth root after acute injury: the communication of the tooth cavity and dentin with the external environment was eliminated, the tooth was fixed in the bone tissue by immobilization and temporary splinting, the traumatic node was eliminated. Predisposing factors of repeated tooth injury have also been eliminated: the axial position of the upper incisors has been improved, the sagittal gap has been reduced, and the width of the upper dentition has been increased. The vitality of the tooth is preserved, which serves as a favorable factor for further growth and formation of the tooth. Conclusions. An integrated approach involving specialists from related fields (a pediatric dentist, a dental surgeon, an orthodontist) is a determining factor in the treatment of dental trauma in children. Children with class II division 1 dental malocclusion are a risk group for dental trauma and are most in need of early orthodontic treatment aimed at eliminating the risk factors for dental trauma. Immediate referral of the patient to a dentist, a full range of diagnostic examination methods, as well as an integrated approach to the treatment of dental trauma with subsequent dynamic observation determine the success of the treatment.