VITAL TREATMENT APPROACHES IN YOUNG PERMANENT TEETH WITH COMPLICATED CROWN FRACTURED: CASE SERIES

Year 2023, Volume: 5 Issue: 2 - Dental and Medical Journal - Review, 31 - 37, 30.06.2023

Behiye Bolgül , Oyku Peker , Rukiye Arıkan

Abstract

ABSTRACT:
PURPOSE-SUBJECT: Crown fractures involving enamel, dentin and pulp tissue are called complicated crown fractures. Especially in anterior region injuries, it is extremely important to bond the broken part or to make an ideal restoration to prevent loss of aesthetics and function. In such injuries, it is primarily aimed to protect the vitality of the tooth while determining the treatment option, especially for teeth with incomplete root development.
METHOD: Two children were admitted to our clinic with a tooth fracture.In these cases, partial pulpatomy treatment approach was followed in order to restore the functional and aesthetic loss caused by trauma and to protect the vitality of the teeth.
RESULTS: It was observed that vitality was preserved and root development continued in the teeth of the patients whose regular check-ups were continuing.
CONCLUSION: Partial amputation is recommended as an early treatment option in complicated crown fractures. With the correct treatment method performed on time, both the vitality of the teeth has been maintained and aesthetics and function have been restored.

Keywords

Young permanent teeth, Complicated crown fractured, Vital treatment approaches

Komplike Kron Kırığı Görülen Genç Daimi Dişlerde Vital Tedavi Yaklaşımları: Olgu Serisi

Abstract

ÖZET
AMAÇ-KONU: Mine, dentin ve pulpa dokusunu içeren kron kırıkları, komplike kron kırığı olarak adlandırılır. Özellikle ön bölge yaralanmalarında estetik ve fonksiyon kaybını önlemek için kırık parçanın yapıştırılması veya ideal bir restorasyon yapılması son derece önemlidir. Bu tür yaralanmalarda, özellikle kök gelişimi tamamlanmamış dişlerde tedavi seçeneği belirlenirken dişin vitalitesinin korunması öncelikli olarak amaçlanmaktadır.
YÖNTEM: İki çocuk hasta kliniğimize diş kırığı sebebi ile başvurdu. Bu olgularda travma sonucu meydana gelen fonksiyon ve estetik kaybın geri kazandırılabilmesi ve dişlerin vitalitelerinin korunması adına parsiyel pulpatomi tedavi yaklaşımı izlenmiştir.
BULGULAR: Düzenli kontrolleri devam eden hastaların travma geçiren dişlerinde dişlerin canlılığının korunduğu ve kök gelişimlerinin devam ettiği izlendi.
SONUÇ: Komplike kron kırıklarında erken dönem tedavi seçeneği olarak parsiyel amputasyon önerilmektedir. Zamanında yapılan doğru tedavi yöntemi ile hem dişlerin canlılığı devam etmiş hem de estetik ve fonksiyon geri kazandırılmıştır.

Keywords

Genç daimi dişler, Komplike kron kırığı, Vital tedavi yaklaşımları

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