Mine Hipoplazili Anterior Dişlerin Direkt Kompozit Rezin ile Estetik Rehabilitasyonu: 2 Yıllık Takip

Year 2022, Volume: 3 Issue: 1, 56 - 60, 29.08.2022

İkbal Esra Pehlivan , Alperen Değirmenci

Abstract

Mine hipoplazisi anterior dişlerde sıklıkla görülen ve estetik problemlere neden olan gelişimsel defektlerden biridir. Bu vakaların estetik sorunları ön planda olmakla beraber, kliniğe başvurma sebepleri arasında hassasiyet şikayetleri de önemli bir yer tutmaktadır. Van Yüzüncü Yıl Üniversitesi Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Kliniğine başvuran hastanın ön grup dişlerinde mine hipoplazisi tespit edildi. Hasta bilgilendirilip gerekli tedavi yöntemleri anlatıldı. Uygulama kolaylığı, hastanın koltukta kalış süresinin kısa olması ve estetiğin kolayca sağlanabilmesi gibi avantajları göz önünde tutularak hastaya direkt kompozit rezin restorasyon uygulanmasına karar verildi. Minenin hipoplazik bölümü kaldırıldıktan sonra dişin labiali, %37 fosforik asit ile 30 saniye boyunca asitlendi. Asitlenen diş yüzeyi yıkandı ve hava ile kurutuldu. Üniversal adeziv uygulamasının ardından 10 saniye süreyle LED ışık cihazıyla adeziv sertleştirildi. Tabakalama tekniği uygulanan kompozit rezin materyalin polimerizasyonu sağlandı. Restorasyonun tamamlanmasının ardından polisajı yapıldı. Tedavinin bitiminden sonra hastanın 1. ay, 6. ay, 1 ve 2 yıllık kontrolleri yapıldı. Bu kontrollerde direkt kompozit rezin uygulaması sonucu ortaya çıkan estetiğin hem hasta açısından hem de klinik açıdan kabul edilebilir seviyede olduğu tespit edildi.

Keywords

Direkt kompozit rezin, estetik, mine hipoplazisi

Aesthetic Rehabilitation of Anterior Teeth with Enamel Hypoplasia with Direct Composite Resin: 2-Year Follow-up

Abstract

Enamel hypoplasia is one of the developmental defects that are frequently seen in anterior teeth and cause aesthetic problems. Although the aesthetic problems of these cases are at the forefront, complaints of sensitivity also have an important place among the reasons for applying to the clinic. Enamel hypoplasia was detected in the anterior teeth of the patient who applied to Van Yüzüncü Yıl University Faculty of Dentistry Restorative Dentistry Clinic. The patient was informed and the necessary treatment methods were explained. It was decided to apply a direct composite resin restoration to the patient, considering its advantages such as ease of application, a short stay in the chair, and aesthetic convenience. After carefully removing the hypoplastic part of the enamel, the labial part of the tooth was etched with 37% phosphoric acid for 30 seconds. The excised tooth surface was thoroughly washed and air-dried. After the universal adhesive application, the adhesive was cured for 10 seconds with the LED device. The polymerization of the composite resin material, on which the layering technique was applied, was achieved. It was polished after the restoration was completed. After the end of the treatment, the patient was followed for 1 month, 6 months, 1 year, and 2 years. In these controls, it was concluded that the aesthetics that emerged as a result of direct composite resin application were at an acceptable level both for the patient and clinically.

Keywords

Aesthetics, enamel hypoplasia, direct composite resin

References

• 1. Pinkham JR, Casamassimo PS, Fields HW, McTigue DJ, Nowak A. Pediatric dentistry: Infancy through adolescence, 2005: 4.
• 2. Rodd H, Abdul‐Karim A, Yesudian G, O’mahony J, Marshman Z. Seeking Children’s Perspectives in The Management of Visible Enamel Defects. Int J Paediatr Dent. 2011; 21: 89-95.
• 3. Jalevik B, Jörgen GN. Enamel hypomineralization of permanent first molars: a morphological study and survey of possible aetiological factors. Int J Paediatr Dent.2000; 10: 278-89.
• 4. Martos J, Gewehr A, Paim E. Aesthetic approach for anterior teeth with enamel hypoplasia. Contemp Clin Dent, 2012;3(l1), S82.
• 5. Gopikrishna, V. Sturdevant's Art & Science of Operative Dentistry-E Book: Second South Asia Edition. Elsevier Health Sciences 2008: 57
• 6. İzgi AD, Kale E, Nigiz R. Esthetic rehabilitation of anterior teeth affected by enamel hypoplasia: two case reports. Turkiye Klinikleri J Dental Sci. 2006;12:99-103.
• 7. Caufield PW, Li Y, Bromage TG. Hypoplasia-associated Severe Early Childhood Caries- A Proposed Definition. J Dent Res. 2012;91:544-50.
• 8. Robertson T, Heymann HO, Swift EJ. Art and Science of Operative Dentistry, 5th ed. North Carolina 2011:637-640.
• 9. Judd P, Casas M. Psychosocial perceptions of premature tooth loss in children. Ontario Dentist. 1995;72(8):16-23.
• 10. Koroluk L, Riekman G. Parental perceptions of the effects of maxillary incisor extractions in children with nursing caries. ASDC J Dent Child. 1991;58(3):233-6.
• 11. Daly D, Waldron J. Molar incisor hypomineralisation: clinical management of the young patient. J Ir Dent Assoc. 2009;55(2).
• 12. Garber DA, Goldstein RE, Feinman RA: Porcelain laminate veneers. Chicago. Quintessence Publishing Co, 1988.
• 13. Izgi AD, Ayna E. Direct restorative treatment of peg-shaped maxillary lateral incisors with resin composite: A clinical report. J. Prosthet. Dent. 2005;93(6):526-9.
• 14. İzgi AD, Niğiz R. Esthetic rehabilitation of anterior teeth affected by enamel hypoplasia: two casereports. Turkiye Klinikleri J Dental Sci. 2006; 12: 99-103.
• 15. Altun CE. Esenlik E, Tozum TF. Hypoplasia of a Permanent Incisor Produced by Primary Incisor Intrusion: A Case Report. J Can Dent Assoc. 2009;75:215-8.
• 16. Özdemir E, Değer Y. Ön dişlerinde mine defekti bulunan üç hastanın kompozit ve porselen laminate veneerler kullanılarak estetik rehabilitasyonu (olgu raporu). GÜ Diş Hek Fak Derg. 2009;26:171-6.
• 17. Peumans M. The 5-year clinical performance of direct composite additions to correct tooth form and position. Clin Oral Investig. 1997;1(1):12-8.
• 18. Gresnigt MM, Kalk W, Ozcan M. Randomized clinical trial of indirect resin composite and ceramic veneers: up to 3-year follow-up. J Adhes Dent. 2013;15(2):181-90.