Kanal Tedavili Dişte Oluşan Komplike Kron Kırığının Fiber Post Destekli Zirkonya Kron Tedavisi

Year 2022, , 74 - 81, 30.12.2022

Ayşegül İnan Yalçıner , Nimet Ünlü , Emine Elif Mutafcilar Velioğlu , Hanife Esra Aycan

https://doi.org/10.15311/selcukdentj.1060782

Abstract

Endodontik tedavi görmüş dişlerde kron, kron-kök ya da kök kırıkları görülebilmektedir. Bu durum preparasyon sırasında diş yapısından fazla miktarda madde kaldırılması, dolgu yapılırken fazla kuvvet uygulanması yada koronal restorasyonun yetersiz planlanması sonucu meydana gelmektedir. Bu tür durumlarda eğer aşırı derecede kron harabiyeti meydana gelmişse ve kırık hattı diş etinin altına doğru uzanıyorsa periodontal cerrahi desteği ile birlikte bir restorasyon düşünülmelidir. Bununla birlikte bu tür dişlerde periodontal cerrahi desteği ile birlikte uygulanan cam fiber destekli post ve zirkonyum kron ile tedavisi hem estetik hem de fonksiyon açısından tatmin edici bir tedavi yöntemidir. Bu olgu sunumunda ; posterior dişlerde çeşitli nedenlere bağlı olarak diş eti altına kadar uzanan komplike kron kırığı sonucu kaybedilen fonksiyon ve estetiğinin fiber post ve zirkonya destekli tam seramik restorasyon ile kazandırılması ve takibi bir klinik vaka üzerinden anlatılmıştır.

Keywords

kanal tedavisi görmüş diş, fiber post core sistemleri, travma, zirkonya

References

• 1. Baraban DJ. The restoration of pulpless teeth. Dent Clin Nor Am 1967; 11: 633.
• 2. Hudis SI, Golstein GR. Restoration of endodonticaly treated teeth: A review of literature. J Prosthet Dent 1986; 55: 33-8.
• 3. Rosen H. Operative procedures on mutilated endodontically treated teeth. Prosthet Dent 1961; 11: 973-86.
• 4. Stern N, Hirshfeld Z. Principles of preparing endodontically treated teeth for dowel and core restorations. J Prosthet Dent 1973; 20: 162-5
• 5. Keyf F and Sahin E. Retentive properties of three post-core systems. Aust Dent J 1994; 39: 20-4.
• 6. Adanir N, Ok E, Erdek Y. Re-attachment of subgingivally oblique fractured central incisor using a fiber post. Eur J Dent 2008;2:138-41.
• 7. Fernandes AS, Shetty S, Coutinho I. Factors determining post selection: a literature review. J Prosthet Dent 2003;90:556–62.
• 8. Sirimai S, Riis DN, Morgano SM. An in vitro study of the fracture resistance and the incidence ofvertical root fracture of pulpless teeth restored with six post-and-coresystems. J Prosthet Dent 1999;81:262-9.
• 9. Saupe WA, Gluskin AH, Radke RA Jr. A comparative study of fracture resistance between morphologic dowel and cores and a resin-reinforced dowel system in the intraradicular restoration of structurally compromised roots. Quintessence Int 1996;27:483-91.
• 10.Fokkinga WA, Kreulen CM, Le BellRönnlöf AM, Lassila LV, Vallittu PK, Creugers NH. Fracture behavior of structurally compromised non-vital maxillary premolars restored using experimental fiber reinforced composite crowns. Am J Dent 2006;19:326- 32.9.
• 11.Hayashi M, Takahashi Y, Imazato S, Ebisu S. Fracture resistance of pulpless teeth restored with post-cores and crowns. Dent Mater 2006;22:477-85.
• 12.Zappini G, Bianchetti M. Finite element analysis of a glass fibre reinforced composite endodontic post. Biomaterials 2002;23:2667- 82
• 13.Ferrari M, Vichi A, Garcia Godoy F. Clinical evaluation of fiber reinforced epoxy resin posts and cast posts and cores. Am J Dent 2000;13:15b-18b.
• 14.Freilich MA, Meiers JC, Duncan JP, Goldberg AJ. Fiber-Reinforced Composites in clinical dentistry. Quintessence Publishing Co 2000;9-22
• 15 Karakoca S, Yılmaz H. Zirkonyum ve sabit protezlerde kullanımı. Atatürk Üniv. Di_ Hek. Fak. Derg. 2006, 36-44
• 16. Burgess JO, Gallo JL. Treating root surface caries. J Dent Clin N Am 2002; 46:385- 404.
• 17. Braly BV, Maxwell EH. Potential for tooth fracture in restorative dentistry. J Prosthet Dent 1981; 45: 411-4.
• 18. Ellis SG, McCord JF, Burke FJ. Predisposing and contributing factors for complete and incomplete tooth fractures. Dent Update 1999; 26: 150-8.
• 19. Kıshen A. Mechanisms and risk factors for fracture predilection in endodontically treated teeh. Endodontic Topics 2006; 13: 57-83.
• 20. Kataoka S, Iwai K, Ishihara Y, Amari M, Ohshima K. Stress analysis of bridge abutment teeth with cemented dowels. Nippon Hotetsu Shika Gakkai Zasshi 1990; 34: 175-85.
• 21. Baratieri LN, Monterio S Jr, Andrada MAC. Esthetics: Direct adhesive restorations on fractured anterior teeth. Chicago: Quintessence Boks; 1998. p. 135.
• 22. Keyf F and Sahin E. Retentive properties of three post-core systems. Aust Dent J 1994; 39: 20-4.
• 23. Freedman GA. Esthetic post-and-core treatment. Dent Clin North Am 2001; 45: 103-16.
• 24. Uzun G, Keyf F. Geleneksel Post-Core Sistemlerine Bir Alternatif: Polietilen Fiber Post (Derleme). Hacettepe Diş Hek Fak Derg 2007; 2: 43-8.
• 25. Rober HV, Leonard DL, Vondewalle KS, Cohen ME, Charlton DG. The effect of a transucent post on resin composite depth of cure. Dent Mat 2004; 617-22.
• 26. Yoldas O, Alacam T. Microhardness of composites in simulated root canals cured with light transmitting posts and glass-fiber reinforced composite posts. J Endod 2005; 104-106.
• 27. Yanıkoğlu N, Bayındır F. Post-core yapımında kullanılan restoratif materyaller ve özellikleri. Atatürk Üniv Diş Hek Fak Derg 2003-2004; 13-14: 39-47.
• 28. Say EC, Özel E. Travma sonucu meydana gelen ön diş kron kırıklarının restorasyonu. Türk Diş Hek Derg 2006; 63: 15-21.
• 29. Dikbaş L, Dülger J. Endodontik tedavi görmüş dişlerin güncel Post-core sistemleriyle restorasyonlarına genel bakış. Akademik Dental Diş Hek Derg 2003; 5: 1-9.
• 30. Hayashi M, Takahashi Y, Imazato S, Ebisu S. Fracture resistance of pulpless teeth restored with post-cores and crowns. Dent Mater 2006; 22: 477-85.
• 31. Ferrari M, Scotti R. Fiber posts. Characteristics and clinical applications. Masson, Milano 2002.
• 32. Cheung W. A review of the management of endodontically treated teeth. Post, core and the final restoration. J Am Dent Assoc 2005; 136: 611-9.
• 33. Helvacıoğlu Kıvanç B. Endodontik Tedavili Dişlerde Post uygulamaları. Atatürk Üniv. Diş Hek. Fak. Derg. 2006; 18-23
• 34.Kelly JR, Nishimura I, Campbell SD. Ceramic in dentistry: Historical roots and current perspectives. J Prosthet Dent 1996; 75:18-32.
• 35. Dundar M, Gungor MA, Cal E. Multidisciplinary approach to restoring anterior maxillary partial edentulous area using an IPS Empress 2 fixed partial denture: A clinical report. J Prosthet Dent 2003; 89:327-330
• 36.Zimmer D, Gerds T, Strub JR. Survival rate of IPSEmpress 2 allceramic crowns and bridges: three year's results. Schweiz Monatsschr Zahnmed 2004;114:115-119.
• 37.Toksavul S, Toman M. A short term clinical evaluation of IPS Empress 2 crowns. Int J Prosthodont 2007;20:168-172.
• 38. Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: Basic properties and clinical applications. J Dent 2007;35:819-826
• 39.Zimmer D, Gerds T, Strub JR. Survival rate of IPSEmpress 2 allceramic crowns and bridges: three year's results. Schweiz Monatsschr Zahnmed 2004;114:115-119. 40.Toksavul S, Toman M. A short term clinical evaluation of IPS Empress 2 crowns. Int J Prosthodont 2007;20:168-172 41.Oilo G, Törnquist A, Durling D, Andersson M. All-ceramic crowns and preparation characteristics: a mathematic approach. Int J Prosthodont 2003; 16: 301-306
• 42. Baratieri LN, Manteiro S, Cardoso AC, Melo Filho JC. Coronal fracture with invasion of the biological width: A case report. Quintessence Int 1993; 24: 85-91. 43. Baratieri LN, Manteiro S, Mendes de Albuquerque F, Vieira LCC, Caldeira de Andrada MA, Claudio de Melo J. Reattactment of a tooth fragment with a "new" adhesive system: A case report. Quintessence Int 1994; 25: 91-6