THE DECORONATION TECHNIQUE IN THE TREATMENT OF ANKYLOSIS

Year 2019, Volume: 1 Issue: 2, 20 - 25, 30.06.2019

Buket Ayna , Sema Çelenk

Abstract

Avulsion
is one of the most severe type of dental injuries in permanent teeth. The time
of replantation is main determinant of the treatment prognosis. When the
periodontal ligament is damaged in the permanent teeth after trauma, the repair
process may result in ankylosis. Ankylosis interferes with the vertical growth
of the alveolar process, which can lead to an open bite, an unesthetic smile,
infraocclusion of anklosed tooth, tilting of the adjacent teeth, elongation of
antagonist teeth, and occlusal disharmony. Removal of an ankylosed tooth may be
difficult and traumatic leading to esthetic and functional problems for young
patients. Recently a treatment option for ankylosed teeth named ‘decoronation’
has gained interest. In this article, in terms of prosthetic rehabilitation
which can be done later, recent literature on decoronation demonstrating its
importance and clinical benefits has been reviewed. 

Keywords

Ankiloz, dekoronasyon, growth

ANKİLOZ TEDAVİSİNDE DEKORONASYON TEKNİĞİ

Abstract

Avülsiyon daimi dişlerde görülen en ciddi diş yaralanmalarından
biridir. Dişin replantasyon zamanı tedavi prognozunun temel belirleyicisidir.
Daimi dişlerde periodontal ligamentin travma sonrası hasar gördüğü durumlarda,
onarım işlemi dişin ankilozuna yol açabilir. Ankiloz alveoler prosesin büyümesini
durdurarak açık kapanışa, estetik olmayan gülüşe, dişin infraoklüzyonuna, komşu
dişlerin devrilmesine, antagonist dişlerin uzamasına ve oklüzal düzensizliğe
yol açabilir. Ankiloze bir dişin çıkarılması ise zor ve travmatik olup, genç
hastalarda estetik ve fonksiyonel pek çok soruna yol açabilir. Son zamanlarda
ankiloze dişler için “dekoronasyon tekniği” olarak adlandırılan bir tedavi
seçeneği ilgi çekmektedir. Bu makalede, ileriye dönük protez rehabilitasyonu
açısından, önemini ve klinik yararlarını gösteren dekronasyon üzerine
yayınlanmış güncel literatürler gözden geçirilmiştir. 

Keywords

Ankiloz, dekoronasyon, büyüme

References

• 1- Andreasen JO, Andreasen FM Andersson L. Luxation Injuries of Permanent Teeth: General Findings. In: Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Blackwell; Munksgaard: 2007;374-382.
• 2- Andersson L, Andreasen JO, Day P, Heithersay G, Trope M, Diangelis AJ, et al. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 2. Avulsion of permanent teeth. Dent Traumatol 2012; 28(2):88-96.
• 3- Andreasen JO, Andreasen FM, Andersson L. Avulsions. In: Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Blackwell; Munksgaard: 2007;444-488.
• 4- McTigue DJ. Erken daimi dişlenme döneminde travmatik yaralanmaların tedavisi. Casamassimo P. Çocuk Diş hekimliği Bebeklikten Ergenliğe. Turtop T, Tulunoğlu Ö. (Çeviri editörü) 4.baskı Atlas kitapçılık; Ankara: 2009;593-607.
• 5- Flores MT, Andreasen JO, Bakland LK, Feiglin B, Gutmann JL et al. Guidelines for the evaluation and management of traumatic dental injuries . Dent Traumatol 2001;17(1):1-193.
• 6- Andreasen JO, Bakland LK, Flores MT, Andreasen FM, Andersson L. Travmatik dental yaralanmalar el kitabı, Eden E. (Çeviri editörü), Elma Basım; İstanbul: 2014;90-99.
• 7- Trope M. Root resorption of dental and traumatic origin: classification based on etiology. Pract Periodontics Aesthet Dent 1998;10(4):515-522.
• 8- Kılkış BT, Tahan E. Travma Sonrası Avülse Olan Dişlerin Replantasyonunda Güncel Endodontik Tedavi Yaklaşımları. Türkiye Klinikleri J Dental Sci-Special Topics 2014;5(2):51-56.
• 9- Şenışık NE, Akalın Y. Dental Ankiloz: Tedavi Seçenekleri. EÜ Dişhek Fak Derg 2016;37(2):75-87.
• 10- Andersson L, Blomlöf L, Lindskog S, Feiglin B, Hammarström L. Tooth ankylosis. Int J Oral Surg 1984;13:423-431.
• 11- Dolanmaz D, Karaman AI, Pampu AA, Topkara A. Orthodontic treatment of an ankylosed maxillary central incisor through osteogenic distraction. Angle Orthod 2010;80:391-395.
• 12- Gençay K, Kocaaydın S, Kasımoğlu Y. Ankiloz İkilemi: Başarı mı? Başarısızlık mı? Türkiye Klinikleri J Pediatr Dent-Special Topics 2017;3(1):80-84.
• 13- Albers DD. Ankylosis of teeth in the developing dentition. Quintessence Int 1986;17:303-308.
• 14- Tsukiboshi M, Tsukiboshi T. Bone morphology after delayed tooth replantation-case series. Dent Traumatol 2014;30:477-483.
• 15- You KH, Min YS, Baik HS. Treatment of ankylosed maxillary central incisors by segmental osteotomy with autogenous bone graft. Am J Orthod Dentofacial Orthop 2012;141:495-503.
• 16- Mishra SK, Chowdhary N, Chowdhary R. Dental implants in growing children. J Indian Soc Pedod Prev Dent 2013;31:3-9.
• 17- Sammartino G, Marenzi G, di Lauro AE, Paolanntoni G. Aesthetics in oral implantology: biological, clinical, surgical and prosthetic aspects. Implant Dent 2007;16:54-65.
• 18- Malmgren B, Cvek M, Lundberg M, Frykholm A. Surgical treatment of ankylosed and infrapositioned reimplanted incisors in adolescents. Scand J Dent Res 1984;92:391-399.
• 19- Malmgren B. Decoronation: how, why, and when? J Cal Dent Assoc 2000;28:846-854.
• 20- Cohenca N, Stabholz A. Decoronation: a conservative method to treat ankylosed teeth for preservation of alveolar ridge prior to permanent prosthetic reconstruction-literature review and case presentation. Dent Traumatol 2007;23:87-94.
• 21- Filippi A, Pohl Y, von Arx T. Decoronation of an ankylosed tooth for preservation of alveolar bone prior to implant placement. Dent Traumatol 2001;17:93-95.
• 22- Sapir S, Kalter A, Sapir MR. Decoronation of an ankylosed permanent incisor: alveolar ridge preservation and rehabilitation by an implant supported porcelain crown. Dent Traumatol 2009;25:346-349.
• 23- Schwartz-Arad D, Levin L, Ashkenazi M. Treatment options of untreatable traumatized anterior maxillary teeth for future use of dental implantation. Implant Dentistry 2004;13:120-128.
• 24- Sigurdsson A. Decoronation as an approach to treat ankylosis in growing children. Pediatr Dent 2009;31:123-128.
• 25- Malmgren B. Ridge Preservation/Decoronation. J Endod 2013;39:67-72.
• 26- Malmgren B, Malmgren O. Rate of infraposition of reimplanted ankylosed incisors related to age and growth in children and adolescents. Dent Traumatol 2002;18:28-36.
• 27- Steiner DR. Timing of extraction of ankylosed teeth to maximize ridge development. J Endod 1997;23:242-5.
• 28- Mohadeb JVN, Somar M, He H. Effectiveness of decoronation technique in the treatment of ankylosis: A systematic review. Dental Traumatology 2016;32:255-263.
• 29- Davarpanah M, Szmukler-Moncler S. Unconventional implant treatment: I-implant placement in contact with ankylosed root fragments: a series of five case reports. Clin Oral Implants Res 2009;20:851-856.