Travma Sonucu İntrüze Olmuş Bir Dişin Uzun Dönem Takibi: Olgu Sunumu

Abstract

Dental travmatik yaralanmalar çocukluk yaşından itibaren ergenlik ve gençlik döneminde sıklıkla görülen ve genellikle düşme, spor yaralanması, kavgalar, trafik kazaları sonucunda oluşmaktadır. İntrüziv lüksasyon olarak da adlandırılan intrüzyon; dişin apikale doğru deplase olduğu ve alveol soketine gömüldüğü bir dental travmatik yaralanmadır. Periodontal ligament, kemik dokusu ve nörovasküler segmentte hasara yol açabildiğinden, tedavi sonrasında yapılan takiplerde komplikasyonlar görülebilmektedir. Pulpal nekroz ve enflamasyon en sık karşılaşılan komplikasyondur. Ankiloz, marjinal gingiva ve kemik desteğinin kaybı, eksternal kök rezorpsiyonları da meydana gelebilen diğer komplikasyonlardır. Bu olgu sunumunun amacı, travma sonucu intrüze olan bir dişin uzun dönem takibinin incelenmesi ve intrüzyon sonucu oluşan eksternal servikal rezorpsiyonun değerlendirilmesidir.

Keywords

• Dental travma
• lüksasyon
• intrüzyon
• repozisyon
• eksternal kök rezorpsiyonu

Long Term Follow-up of an Intrused Tooth as a Result of Trauma: Case Report

Abstract

Dental traumatic injuries are frequently seen in adolescence and youth, usually occur as a result of falls, sports injuries, fights and traffic accidents. Intrusion, also called intrusive luxation, is a dental traumatic injury that the tooth is displaced apically and embedded in the alveolar socket. Since it can cause damage to the periodontal ligament, bone tissue and neurovascular segment; complications can be seen in the follow-ups after the treatment. Pulpal necrosis and inflammation are the most common complications. Ankylosis, loss of marginal gingiva and bone support, external root resorption may also occur. The aim of this case report is to examine the long term follow-up of a tooth intruded as a result of trauma and to evaluate external cervical resorption as a result of intrusion.

Keywords

• Dental trauma
• luxation
• intrusion
• reposition
• external root resorption
• Dental travma
• lüksasyon
• intrüzyon
• repozisyon
• eksternal kök rezorpsiyonu

References

1. Abbott PV, Lin S. Tooth resorption—Part 2: A clinical classification. Dental Traumatology. 2022 Aug;38(4):267-85. Andersson, L. (2013). Epidemiology of traumatic dental injuries. Journal of endodontics, 39(3), S2-S5.
2. Bourguignon C, Cohenca N, Lauridsen E, Flores MT, O'Connell AC, Day PF, Tsilingaridis G, Abbott PV, Fouad AF, Hicks L, Andreasen JO. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations. Dental Traumatology. 2020 Aug;36(4):314-30.
3. Brown CJ. The management of traumatically intruded permanent incisors in children. Dental update. 2002 Jan 2;29(1):38-44.
4. Chan AW, Cheung GS, Ho MW. Different treatment outcomes of two intruded permanent incisors–a case report. Dental Traumatology: Case report. 2001 Dec;17(6):275-80.
5. de Souza BD, Dutra KL, Reyes-Carmona J, Bortoluzzi EA, Kuntze MM, Teixeira CS, Porporatti AL, De Luca Canto G. Incidence of root resorption after concussion, subluxation, lateral luxation, intrusion, and extrusion: a systematic review. Clinical oral investigations. 2020 Mar;24(3):1101-11.
6. Glendor UL. Aetiology and risk factors related to traumatic dental injuries–a review of the literature. Dental traumatology. 2009 Feb;25(1):19-31.
7. Heboyan A, Avetisyan A, Karobari MI, Marya A, Khurshid Z, Rokaya D, Zafar MS, Fernandes GV. Tooth root resorption: A review. Science Progress. 2022 Jul;105(3):00368504221109217.
8. Levin L, Day PF, Hicks L, O'Connell A, Fouad AF, Bourguignon C, Abbott PV. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: General introduction. Dental Traumatology. 2020 Aug;36(4):309-13.

9. Lin S, Moreinos D, Kaufman AY, Abbott PV. Tooth Resorption–Part 1: The evolvement, rationales and controversies of tooth resorption. Dental Traumatology. 2022 Aug;38(4):253-66.
10. Nazzal H, Dhaliwal HK, Littlewood SJ, Spencer RJ, Day PF. Interdisciplinary management of severe intrusion injuries in permanent incisors: a case series. British Dental Journal. 2014 Nov;217(9):517-23.
11. Rovira-Wilde A, Longridge N, McKernon S. Management of severe traumatic intrusion in the permanent dentition. BMJ Case Reports CP. 2021 Mar 1;14(3):e235676.
12. Zaleckiene V, Peciuliene V, Brukiene V, Drukteinis S. Traumatic dental injuries: etiology, prevalence and possible outcomes. Stomatologija. 2014 Mar 21;16(1):7-14.