Pulp Revascularization of a Traumatized Immature Maxillary Permanent Central Tooth: A Case Report

Year 2016, Issue: 1, 60 - 64, 01.01.2016

Tuğba Nale Levent Demiriz Ebru Hazar Bodrumlu

https://doi.org/10.21306/jids.2016.1.24

Abstract

Traumatic injuries that occur in immature permanent teeth may cause dentin accumulation and stop root maturation. Endodontic treatment of immature teeth often has a complex and ambiguous prognosis. In this case report, pulp revascularization of the left central incisor of the maxilla with complicated crown fracture as a result of a truma was explained. One day after the trauma, the patient was admitted to our clinic with an uncomplicated crown fracture in the right central incisor and a complicated crown fracture in the left central incisor. The broken piece of the left central teeht was kept in the milk and brought to the clinic. On radiological examination, it was determined that the root tip of the central teeth was open. Composite restoration for the right central incisor and revascularization therapy for the left central incisor were planned and implemented. At 18 months of clinical and radiological follow-up, both teeth were asymptomatic and their roots continued to develop. In immature teeth, revascularization therapy can be considered as an advantageous endodontic treatment method in terms of continuing root development compared to apexification treatment

Keywords

Open apex, Revascularization, Trauma

Travmaya Uğramış İmmatür Maksiler Daimi Ön Kesici Dişin Pulpa Revaskülarizasyonu: Bir Olgu Raporu

Abstract

İmmatür daimi dişlerde meydana gelen travmatik yaralanmalar dentin birikiminin ve kök olgunlaşmasının durmasına neden olabilir. İmmatür dişlerin endodontik tedavileri genellikle karmaşık ve belirsiz bir prognaza sahiptir. Bu olgu raporunda, travma sonucunda komplike kron kırığı oluşan maksiller sol santral kesicinin revaskülarizasyon yöntemi ile tedavi edilmesi anlatılmıştır. Travmaya uğradıktan bir gün sonra kliniğimize başvuran 8 yaşındaki kız hastanın klinik muayenesinde sağ santral dişinde komplike olmayan kuron kırığı, sol santral dişinde ise komplike kuron kırığı gerçekleştiği tespit edilmiştir. Sol santral dişin kırılan parçası süt içerisinde saklanarak kliniğe getirilmiştir. Radyolojik incelemede, santral dişlerin kök ucunun açık olduğu tespit edilmiştir. Sağ santral kesici diş için kompozit restorasyon, sol santral kesici için ise revaskülarizasyon tedavisi planlanmış ve uygulanmıştır. 18 aylık klinik ve radyolojik takiplerde her iki dişin asemptomatik olduğu ve köklerinin gelişmeye devam ettiği saptanmıştır. İmmatür nekrotik dişlerde revaskülarizasyon tedavisi kök gelişiminin devam etmesi açısından apeksifikasyon tedavisine göre avantajlı bir tedavi metodu olarak değerlendirilebilir

Keywords

Açık apeks, Revaskülarizasyon, Travma

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