Brazilian Journal of Dental Traumatology (2010) 2(1): 17-21 © 2010 Sociedade Brasileira de Traumatologia Dent´ aria ISSN 2175-6155 http://www.sbtd.org.br/journal A MULTIDISCIPLINARY TREATMENT OF A DENTAL TRAUMA Rosana Belchior Miranda 1 , Mar´ ılia Fagury Videira Marceliano-Alves 2 , Marcelo Rolla de Souza 3 , Sandra Rivera Fidel 4 and Rivail Antonio S´ ergio Fidel 5 Received on June 10, 2010 / Accepted on August 11, 2010 ABSTRACT Unfortunately, dental trauma is a common event among teenagers practicing sports. The injuries may range from involving only the teeth to being associated with a complex oral traumatism. The prognosis depends on a good diagnosis and an appropriate treatment plan. This study presents a clinical case of a 15-year-old male, who had an accident during a soccer match. The trauma affected three teeth, their periodontal supports and oral tissues. A severe intrusion committed the #21 tooth and both #11 and #12 teeth suffered subluxation. The teeth suffered crown fracture, without pulp exposure. Upon urgency visit the professional carried out the splint with orthodontic wire to fix the #11 and #12 teeth, besides the suture of gingival tissue laceration. The patient was designated to Orthodontics for extrusion of the #21 tooth, which was essential to endodontic and restorative treatment. Pulp sensitivity of #11 and #12 teeth was tested for 7 months after trauma resulting in negative response. This condition led to endodontic indication to both of them. Sixteen months after the trauma, periapical radiograph showed a radiolucent image limited around the root apex of the #21 tooth that was, then, submitted to periradicular surgery. At 4 years follow-up, the area seemed healthy and the periapical radiograph revealed evidence of bone repair. Keywords: Dental trauma, intrusion, oral surgery . Correspondence to: Rosana Belchior Miranda R. Sorocaba, 115/901, Bl. 2, Botafogo, 22271-110 Rio de Janeiro, RJ, Brasil – E-mail: rosanabelchior@uol.com.br 1 DDS, MSc, Endodontics Department, Santos-Dumont Dental Clinic of Brazilian Air Force, Rio de Janeiro, RJ, Brazil. 2 DDS, MS, Endodontics Department, Santos-Dumont Dental Clinic of Brazilian Air Force, Rio de Janeiro, RJ, Brazil. 3 DDS, MS, Endodontics Department, Santos-Dumont Dental Clinic of Brazilian Air Force, Rio de Janeiro, RJ, Brazil. 4 DDs, MSc, PhD, Department of Integrated Clinical Procedures (Proclin), State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil. 5 DDs, MSc, PhD, Endodontics Department, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.