Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Year 2017, Volume: 4 Issue: 3, 144 - 152, 01.12.2017

Filiz Aydoğan , Neslihan Şenışık

https://doi.org/10.15311/selcukdentj.303967

Abstract

Bu vaka raporunun amacı sabit ortodontik tedavi sırasında dental
travmaya maruz kalan hastanın tedavisini sunmaktır. Kliniğimizde beş aydır
sabit ortodontik tedavi görmekte olan 16 yaşında bayan hasta travma geçirmiş ve
travmadan iki gün sonra kliniğimize gelmiştir. Hasta evinde senkop geçirdiğini
ve düştüğünü belirtmişti. Ekstraoral olarak alt dudakta laserasyon intraoral
olarak alt sanral keserlerde lateral lüksasyonla birlikte ekstrüzyon
gözlenmiştir. Travmadan hemen sonra pulpanın vitalitesinin net olarak
değerlendirilememesinden dolayı kök kanal tedavisi ertelenmiştir. Travmadan
sonra her iki travmaya uğramış diş üzerindeki aktif ortodontik kuvvet
kaldırılmıştır. 7 ay sonra travmaya maruz kalan dişlerin pulpalarının vital olduğu
tespit edilmiştir. Daha sonra hafif ortodontik kuvvetlerle sıralama ve
seviyeleme yapılmış, başlangıçta planlandığı gibi estetik bir gülüş ve ideal
bir okluzyon elde edilmiştir. Aktif ortodontik tedavinin bitiminden on iki ay
sonra alınan periapikal radyografta madibular keser dişlerin pulpasında kısmi
obliterasyon tespit edilmiştir. Her altı ayda bir rutin klinik ve radyografik
değerlendirme gerekmektedir.

Anahtar kelimeler: sabit ortodontik tedavi, travma, mandibuler
kesiciler

Keywords

sabit ortodontik tedavi, travma, mandibular kesiciler

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