Traumatismo dentoalveolar na dentição decídua

The treatment of children presenting dental trauma in the primary dentition requires a different approach from that used in the permanent dentition, because there is a very close relation between the apex of the traumatized primary tooth and the successor permanent bud. The possible consequences on the permanent teeth should be considered when performing early treatment in order to prevent further damage. Also, the probable trauma's late sequelae should be taken into account both for primary and permanent dentition. Given the subject's importance, this chapter aimed to report this issue broadly. This comprises the anamnesis, general, intraoral, and radiographic examination and the comprehensive treatment of the patient. Additionally to the classification of dental injuries, we highlighted the diagnosis, required treatment, prognosis, and follow-up of each clinical situation. A topic on soft tissue lesion was included, because it has a great impact on both the child and family. Moreover, it could be associated with other trauma types. Since the analysis of the child's vaccination status is suggested, in face of cases demanding that tetanus vaccine be valid, the recommendation of the Brazilian Ministry of Health was also informed. Furthermore, there is an item on dental splinting, parenting advice, and trauma consequences on primary and successor permanent teeth. At the end of the chapter, two tables summarize the early and delayed treatment of trauma involving primary tooth's enamel, dentin, pulp, and supportive tissues.