Treatment of anterior crossbite and its influence （治疗前与上排及其影响）.pdfVIP

/10.1590/1981-8637201400040000091313 CLÍNICO | CLINICAL Treatment of anterior crossbite and its influence on gingival recession Pulpotomia em molar decíduo com agregado trióxido mineral Roberta Nascimento ANDRADE1 Flávia Ribeiro TÔRRES1 Rogério Frederico Alves FERREIRA1 Fernanda CATHARINO2 ABSTRACT Several etiological factors for gingival recession have been discussed in the literature, and the vestibular region of the mandibular incisors is a critical anatomical area for the emergence of this condition. Anterior crossbite is an important factor, because the trauma from occlusion between the incisors generates an imbalance in the distribution of forces, causing changes in the periodontium and making the area more susceptible to mechanical trauma during brushing and to plaque formation. In view of these aspects, the objective of this paper was to demonstrate the influence of early treatment of anterior crossbite on the gingival margin level and risk of gingival recession in the region of the incisors. A case of anterior crossbite treated during the mixed dentition phase was used as an example. After orthodontic therapy with the use of a removable appliance with a finger spring, we noticed improvement in periodontal health and esthetics as the tooth was reattached at its base bone. Indexing terms: Gingival recession. Malocclusion. Orthodontics. Periodontics. RESUMO Diversos medicamentos vêm sendo testados e utilizados na terapia pulpar conservadora de dentes decíduos, no entanto, o formocresol continua sendo o material de escolha nas pulpotomias, mesmo não atendendo às exigências de biocompatibilidade e promovendo a fixação do tecido pulpar vital e não o seu reparo. Com o surgimento do Agregado Trióxido Mineral como um material com propriedades físico-químicas que promovem o reparo tecidual, aliados a outras propriedades importantes, tais como a ação antimicrobiana e a biocompa