İmmatür Sürekli Dişlerin Etkilendiği Komplike Bir Travma Olgusu

Year 2020, Volume: 6 Issue: 1, 8 - 11, 30.04.2020

Deniz Sıla Özdemir Halenur Altan

Abstract

Çocukların dişlerinde travmatik yaralanmalar genellikle dişlerin gelişiminin devam ettiği ve kök oluşumunun henüz tamamlanmadığı anterior bölgede görülür. Bu olgu sunumunda travma sonucu 3 farklı tipte dental yaralanmanın görüldüğü anterior dişlerin tedavisinin sunulması amaçlanmıştır.
8 yaşındaki erkek hasta trafik kazasından bir gün sonra kliniğimize başvurdu. Yapılan klinik ve radyografik muayenede 12 numaralı dişte komplike olmayan kron kırığı, 11 numaralı dişte sublüksasyon tespit edildi. 21 numaralı dişin avülse olduğu ve kaza yerinde bulunamadığı öğrenildi. 11 ve 12 numaralı dişlerin tedavilerinin tamamlanmasının ardından 21 numaralı diş boşluğunun uygun protetik tedavilerin yapılacağı yaşa kadar korunması için hareketli yer tutucu planlandı.
Tedavi sonrası 3,6,9 ve 12 aylık takiplerde maksiller sağ santral dişte periapikal iyileşme, dentin duvarlarında kalınlaşma ve kök boyunda uzama görülmüştür. Ayrıca maksiller sağ santral diş vitalitesi devam etmektedir ve maksiller sol santral diş boşluğu korunmuştur.

Keywords

Dental Travma, İmmatür Diş, Rejeneratif Endodontik Tedavi, Hareketli Yer Tutucu

A Complicated Trauma Case In Immature Permanent Teeth

Abstract

Dental traumatic injuries in children are usually seen in the anterior region, where the development of the teeth continues, and the root formation is not yet complete. In this case report, we aimed to present the treatment of anterior teeth with three different types of dental injuries as a result of trauma.
An 8-year-old male patient was referred to the clinic one day after the traffic accident. As a result of clinical and radiographic examination, uncomplicated crown fracture in the maxillary right lateral incisor and subluxation in the maxillary right central incisor were detected. It was learned that the maxillary left central incisor was avulsed and was not found at the accident site. After the treatment of the maxillary right central and lateral incisors, a removable space maintainer was planned to protect the maxillary left central incisor cavity until the age of appropriate prosthetic treatments.
Following treatment, periapical healing, thickening of dentin walls, and increase in root length were observed of maxillary right central incisor at 3,6,9 and 12 months follow-up. In addition, the vitality of the maxillary right central tooth continues and the maxillary left central tooth cavity is preserved.

Keywords

Dental Trauma, Immature Tooth, Regenerative Endodontic Treatment, Removable Space Maintainer

References

• 1.Andreasen JO, Ravn JJ. Epidemiology of traumatic dental injuries to primary and permanent teeth in a Danish population sample. Int J Oral Surg 1972;1:235- 239.
• 2.Bcrgenholtz G. Cox CF. Loeschc IVJ. Syrd S.1. Bacterial leakage around dental restorations: its etfcct on the dental pulp. Oral Path 1982;l I:439-.50.
• 3. Yamauchi N, Yamauchi S, Nagaoka H, Duggan D, Zhong S, Lee SM, Teixeira FB, Yamauchi M. Tissue engineering strategies for immature teeth with apical periodontitis. J Endod 2011;37:390-397.
• 4. Donaldson M, Kinirons M,J. Factor affecting the time of onset of resorption in avulsed and replanted teeth in children. Dent Traumatol 2001;17: 201-205.
• 5. Andreasen JO, Borum MK, Jacobsen HL, Andreasen FM. Replantation of 400 avulsed permanent incisors. II. Factors related to pulp healing. Endod Dent Traumatol 1995;11:59–68.
• 6. Barnett F. The role of endodontics in the treatment of luxated permanent teeth. Dent Traumatol 2002; 18: 47–56.
• 7.Kaya S, Ganidağlı Ayaz S. Ekstrusiv lüksasyon ve komplike olmayan kron fraktürü: İki olgu sunumu. Gazi Ü Dişhek Fak Derg 2011; 28: 109-14.
• 8. Kwan SC, Johnson JD, Cohenca N. The effect of splint material and thickness on tooth mobility after extraction and replantation using a human cadaveric model. Dent Traumatol 2012;28:277-81 .
• 9. Trope M. Chapter 36, Endodontic considerations in dental trauma. In: Ingle JI, Bakland LK, Baumgartner JC. Ingle’s Endodontics. 6th ed. Hamilton: BC Decker Inc; 2008. p1330-1357.
• 10.Cvek M. Prognosis of luxated non-vital maxillary incisors treated with calcium hydroxide and filled with gutta- percha. A retrospective clinical study. Endod Dent Traumatol 1992;8:45-55.
• 11.Ding RY, Cheung GS, Chen J, Yin XZ, Wang QQ, Zhang CF. Pulp revascularization of immature teeth with apical periodontitis: a clinical study. J Endod 2009;35:745- 749.
• 12. Hoshino E, Kurihara-Ando N, Sato I, Uematsu H, Sato M, Kota K, Iwaku M. In-vitro antibacterial susceptibility of bacteria taken from infected root dentine to a mixture of ciprofloxacin, metronidazole and minocycline. Int Endod J 1996;29:125-130.
• 13. Yassen GH, Chu TM, Eckert G, Platt JA. Effect of medicaments used in endodontic regeneration technique on the chemical structure of human immature radicular dentin: an in vitro study. J Endod 2013;39(2):269-73.
• 14. Al-Tammami MF, Al-Nazhan SA. Retreatment of failed regenerative endodontic of orthodontically treated immature permanent maxillary central incisor: a case report. Restor Dent Endod 2017;42(1):65-71.
• 15.Tronstad L, Mjör IA. Capping of the inflamed pulp. Oral Surg Oral Med Oral Pathol 1972;34:477-485.
• 16. Thibodeau B, Trope M. Pulp revascularization of a necrotic infected immature permanent tooth: case report and review of the literature. Pediatr Dent 2007; 29:47-50.