GEMİNASYONU OLAN SANTRAL KESİCİ DİŞİN MULTİDİSİPLİNER TEDAVİSİ: OLGU SUNUMU

Year 2018, Volume: 28 Issue: 4, 561 - 569, 14.10.2018

Adnan Ege Köseler Serkan Sarıdağ Emre Yaprak Naime Nur Seven

https://doi.org/10.17567/ataunidfd.473974

Abstract

Sert dokulardaki gelişimsel anomaliler diş
hekimliğinde oldukça sık rastlanan durumlardır. Geminasyon ve füzyon bu
anomalilerden ikisidir ve birbirlerine oldukça karıştırılan benzer klinik
tablolar oluştururlar. Geminas- yon tek bir diş tomurcuğundan iki diş oluşturma
çabası ile büyük kronlu bir diş oluşumudur. Bu vaka raporun- da daimi
dentisyonunda geminasyonlu bir santral dişi olan bayan hastanın multidisipliner
tedavisi anlatıl- mıştır. Hasta bu anomaliye sahip olmasında ailesel bir
geçişin söz konusu olmadığını ve süt dişlerinde böyle bir problem bulunmadığını
ifade etmiştir. Bu tip bir dental anomali dişlerin çapraşıklaşmasına, gömülü kalmasına,
periodontal harabiyete, çürüklere ya da estetik sorunlara neden olabilir.
Tedavisinde ise günü- müzde, bu ikiz dişlerin mezio-distal boyutlarını küçült- mek
adına en sık tercih edilen hemiseksiyon tedavisine alternatif olabilecek yeni
bir yöntem anlatılmıştır. Uzun süreli takip gerekmektedir.

Anahtar
Kelimeler: Geminasyon, hemiseksiyon,
monolitik translusent zirkonya, santral kesici

THE MULTIDICIPLINARY TREATMENT OF A GEMINATED CENTRAL
TOOTH: A CASE REPORT

Developmental anomalies in the hard tissue are seen frequently in dental
practice. Gemination and fusion are the most commonly encountered anomalies,
and distinction between the two is always challenging. Gemination is
defined as an attempt to make two teeth from one tooth bud. This case report
describes the multidisiplinary treatment of a female patient with a geminated
central tooth. The patient did not have history of anomaly in her primary
dentition and in her family either. This type of dental anomaly can cause
clinical problems in the form of malocclusion, poor aesthetic, and impaction of
adjacent teeth caries, and periodontal destruction. For the treatment we
preferred a new alternative method instead of hemisection surgery which is the
gold standard for reducing the mesio-distal sizes of big crowns. Long term
follow up is needed.

Keywords: Central incisor; double teeth; hemisection;
monolithic translucent zirconia

Keywords

Geminasyon, hemiseksiyon, monolitik translusent zirkonya

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