Gravina DBL, Peruchi CMS, Rivera G, Santos ALC and Cruvinel VRN
difficulties regarding treatment cost, psychological and emotional factors, and the fact that the treatment may continue for the rest of the patient’s life. The current paper reports the case of an 8-year-old girl who sought the pediatric dentistry clinic at the Catholic University of Brasilia with coronal fracture in tooth 11. During the interview, the patient reported that she had fallen during a leisure activity, fact that caused the fracture. She was firstly assisted in a private practice, where she received emergency care. Clinical and radiographic examination found that the patient had a fracture involving enamel and dentin, but not the pulpal. Class IV composite resin restoration was the proposed treatment. After selecting the colors, the cavity preparation was completed according to parameters in recent conservative guidelines. Rubber dam restoration was used to avoid contamination. The dentin and enamel surfaces were then treated according to the protocol of the chosen adhesive agent. The composite resin was inserted by incremental technique and light curing. The smoothest surfaces were obtained using the complete sequence of Sof-Lex discs. Systematic follow-ups were performed to check the periapical conditions, restoration integrity, as well as the color stability. Thus, the patient aesthetic, phonetic and mastication functions were restored, and she resumed her social activities.
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