The dental management of a patient maltreatment victim with severe anatomical sequelae: a case report

Resumo

Violence against children and adolescents is a multifaceted phenomenon, influenced by cultural, social, and economic factors, which continues to be a significant concern today. Most injuries resulting from abuse in the age group of 0 to 17 years affect the orofacial region, emphasizing the need for dentists to be trained to identify, treat, and report suspected cases. Regarding surgical and prosthetic rehabilitation, it is crucial to consider the unique anatomical and physiological characteristics of this phase for proper diagnosis, prognosis, and treatment planning. Objective: Therefore, the aim of this study was to perform the provisional prosthetic rehabilitation of a teenager, with extensive bone and tooth loss in the maxilla, who was a victim of abuse. Material and methods: For this purpose, the patient underwent wrist radiographic exams to confirm the stage of bone development. Upon skeletal immaturity confirmation, a detailed treatment plan was developed, opting for a conventional transitional removable partial denture to allow modifications and adjustments, without interfering with facial bone development and growth. Results: The patient was rehabilitated, restoring masticatory, speech, and aesthetic functions, and regular follow-up was maintained for guidance, maintenance, and adjustments of the prosthesis, as well as evaluation of oral tissue health and involved teeth until treatment completion. Conclusion: The importance of proper planning and dental prostheses in the rehabilitation of abuse victims is highlighted, considering the ability of these devices to restore the function of affected organs, preserve remaining structures, and improve the physical, emotional, and social aspects of the patient.