Management Of Fused Permanent Mandibulary Central Incissors: Intentional Replantation

Year 2013, Volume: 23 - 2013: Supplement 7, - , 01.07.2013

Yrd. Doç. Dr. Birkan Taha Özkan Yrd. Doç. Dr. Özgür Genç Şen Arş. Gör. Levent Ciğerim Dt. Benin Behram

Abstract

Dental fusion is a rare developmental anomaly, which stems from embryogenic union of 2 teeth originating from two different germs. These teeth also tend to be greatly predisposed to caries and periodontal disease and in some cases, endodontic treatment might be complicated. A 15 year-old male patient was referred to our clinic with the chief complaint of pain in the mandibulary incissor region. Clinic and radiographic examinations revealed that two mandibulary permanent central incissors were fused. The fused tooth was devital and had a periapical lesion. Therefore root canal treatment was applied primarily. During the treatment, it was concluded that a surgical approach is required. The fused tooth was extracted and its crown and root was reshaped. After the curettage of periapical granulation tissue, tooth was replantated with otogen bone graft. After 12 month follow-up period, it was seen that tooth was in function and periapical lesion was healed.

Keywords

Fusion, root canal teratment, intentional replantation

Füzyonlu Alt Daimi Keser Dişlerin Tedavisi: Planlanmış Replantasyon

Abstract

Dental füzyon, farklı iki diş germinden meydana gelen 2 dişin embriyojenik birleşmesinden köken alan ve nadir rastlanan gelişimsel bir anomalidir. Bu dişler çürük ve periodontal hastalık oluşumuna yatkındırlar ve bazı vakaların endodontik olarak tedavi edilmeleri güç olabilir. 15 yaşındaki erkek hasta kliniğimize alt keser bölgesinde ağrı şikayetiyle başvurdu. Klinik ve radyografik incelemeler daimi alt iki santral keserin füzyonunu ortaya çıkardı. Diş devital ve periapikal lezyonlu olduğu için ilk aşamada kök kanal tedavisi yapıldı. Tedavi sırasında cerrahi yaklaşımın gerekli olduğuna karar verildi. Diş kökü ve kronu aeratörle şekillendirildi. Periapikal granülomun küretajından sonra diş, otojen kemik greftiyle reimplante edildi. 12 aylık takip döneminden sonra dişin fonksiyonda olduğu ve periapikal lezyonun iyileştiği görüldü.

Keywords

Füzyon, kanal tedavisi, planlanmış replantasyon

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