Traumatic Dental Injury of Permanent Teeth

Female patient, 15 years old, came to the Clinic of the Faculty of Dental Medicine of University of Oporto for a routine appointment. Teeth 11 and 21 showed enamel-dentin fractures (Figures 1 to 3). Patient had a history of fall at the age of 9, which caused the injury. Vitality tests were positive and the teeth were not sensitive to percussion. No radiographic abnormalities were found. A silicon palatal guide was taken from the mock-up (Figures 4 and 5) in order to create a palatal wall. A direct aesthetic rehabilitation with resin composite Z100 ™ Restorative (3M) was done (Figures 6 to 9). Keywords: palatal guide, dental trauma, permanent teeth, esthetic restauration