Abstract

A male patient, 10 years old, attended the service of Oral and Maxillofacial Surgery and Traumatology, complaining of the absence of the teeth; the clinical examination revealed lack of the left upper central incisor such as that of the left superior lateral incisor. After the periapical radiography, an image suggestive of odontoma. A tomography was ordered. The image examination confirmed 21 and 22 included, and supernumerary element, besides presence of odontoma obstructing the eruption of the abovementioned teeth. The procedure in the hospital setting. In addition to general anesthesia, infiltrative anesthesia was performed, relaxing incisions, gingival detachment, osteotomy to access the odontoma and the vestibular face of the included teeth, excision of the lesion, bonding of ligament buds on elements 21 and 22, filling of the spaces created in the osteotomy with autologous leukoplakary fibrin. To accelerate the process of tissue repair, the patient was referred to the orthodontist.

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