Can we predict eruption of impacted teeth associated with dentigerous cysts in children?

Year 2020, Volume: 45 Issue: 3, 1018 - 1023, 30.09.2020

Hüseyin Can Tükel , İffet Yazıcıoğlu

https://doi.org/10.17826/cumj.732954

Abstract

Purpose: The aim of this study was to evaluate the impacted teeth due to DC (dentigerous cyst) after marsupialization and to identify which factors are related with the spontoneus eruption of those teeth among children.
Materials and Methods: The records of 63 children who received marsupialization due to an impacted tooth associated with DC, were evaluated in the terms of factors that may affect the spontaneous eruption. Patients were divided into two groups depending on the situation of eruption of the tooth. The data from these patients were collected. The eruption of the tooth, along with related factors such as age, gender, tooth depth, angulation, root formation, interval to eruption, cyst size and use of obturator/space maintainer, were analyzed.
Results: The mean value of tooth depth was 11.1±3.2 mm in the non erupted group and 8.1±3.9 mm in erupted group; additionally the mean values of angulation in non-erupted group was 41.5±22.6 and 27.9±21.3 degrees in erupted group. These two factors were associated with non-eruption of impacted tooth in logistic regression analysis.
Conclusion: The depth and angle of the tooth can be considered as important factors in predicting whether the impacted tooth will erupt after marsupialization. In addition, if DC is detected in the presence of permanent teeth with delayed eruption, it may be advisable to start the treatment before the physiological eruption time of the impacted tooth, not to make a an obturator or a space maintainer if there is not a long time between the normal eruption time and the age to start treatment.

Keywords

teeth, impacted, dentigerous cyst

Çocuk hastalarda dentigeröz kistlerle ilişkili gömülü dişlerin sürmesi öngörülebilir mi?

Abstract

Amaç: Bu çalışmanın amacı çocuklarda dentigeröz kist (DK) nedeni ile gömülü kalan dişlerin, marsüpyalizasyon sonrası sürmesini incelemek ve hangi faktörlerin ilişkili dişlerin sürmesinde belirleyici olduğunu araştırmaktır.
Gereç ve Yöntem: DK nedeni ile gömülü kalan daimi dişleri olan ve marsüpyalizasyon yapılan 63 çocuk hastanın kayıtları, sürmeyi etkileyebilecek faktörler açısından değerlendirildi. Hastalar dişlerin sürmesi ve sürmemesine göre iki grupta incelendi. Çalışmada sürmeyi etkileyebilecek faktörler; yaş, cinsiyet, dişin derinliği, dişin açısı, kök gelişimi, dişin sürmesi gereken boşluk ve dişin meziyo-distal boyutu arasındaki oran, kistin boyutu ve obturatör/yer tutucu kullanımı olarak belirlendi.
Bulgular: Diş derinliği ortalaması sürmeyen grupta 11,1±3,2 mm, süren grupta 8,1±3,9 mm olarak bulunurken; gömülü dişlerin açı ortalaması sürmeyen grupta 41,5±22,6 süren grupta 27,9±21,3 derece olarak bulundu. Lojistik regresyon analizinde de bu iki faktör dişlerin kendiliğinden sürmemesi ile ilişkiliydi.
Sonuç: Tedavi kararı verilirken, DK ile ilişkili gömülü dişlerin marsüpyalizasyon sonrası sürüp sürmeyeceğinin tahmin edilmesinde dişin derinliği ve açısı önemli faktörler olarak değerlendirilebilir. Ayrıca sürmesi geciken daimi dişlerin varlığında DK tespit edilmesi durumunda tedaviye gömülü dişlerin fizyolojik sürme zamanlarından önce başlanması, normal sürme zamanı ile tedaviye başlama yaşı arasında çok uzun süre yoksa obtüratör/yer tutucu yapılmaması tavsiye edilebilir. 

Keywords

Çocuk, dentigeröz kist, diş sürmesi, gömülü diş

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