Clinical Follow-up and Subluxation in Permanent Maxillary Incisor Trauma: A Case Report on the Importance of Monitoring

Abstract

Damage to the teeth after trauma in the maxillofacial region is one of the most frequently encountered problems. In traumas occurring during permanent dentition, lateral luxation, subluxation and shaking of the incisors may be encountered. Splinting is recommended in these cases, but splinting may be difficult after trauma in cases with crowding. Attention should be paid to the vitality of the teeth and the symptoms of necrosis. The aim of this case report is to present the treatment, follow-up radiographs and photographs of the permanent upper incisors of a traumatised 16-year-old male patient. The patient had lateral luxation of tooth number 11, subluxation of tooth number 21 and concusion injuries of teeth number 12,13,22,23. Panoramic radiography and cone beam computed tomography revealed no alveolar fracture. After sixteen months of follow-up, no clinical and radiographic complications were observed.

Keywords

• Cone Beam Computed Tomography
• Lateral Luxation
• Splint

Daimi Maksiller Keser Diş Travmalarında Klinik İzlem ve Sublüksasyon: Takip Sürecinin Önemi Üzerine Bir Olgu Sunumu

Öz

Çene yüz bölgesinde yaşanan travma sonrası dişlerde hasar meydana gelmesi sıklıkla karşılaşılan problemlerdendir. Daimi dentisyon sırasında meydana gelen travmalarda ise kesici dişlerin lateral lüksasyonuna, sublüksasyona ve sarsılmaya rastlanabilir. Bu durumlarda splintlenme önerilmekte ancak çapraşıklığı olan olgularda travma sonrası splint yapımında güçlük yaşanabilmektedir. Dişlerin canlılığının takibine ve nekroz semptomlarına dikkat edilmelidir. Bu vaka raporunun amacı, travma geçirmiş 16 yaşında bir erkek hastanın daimi üst keserlerinin tedavi, takip radyografisi ve fotoğraflarını sunmaktır. Hastanın 11 numaralı dişinde lateral lüksasyon, 21 numaralı dişinde sublüksasyon;12,13,22,23 numaralı dişlerinde ise konküzyon yaralanması tespit edilmiştir. Alınan panoramik radyografi ve konik ışınlı bilgisayarlı tomografi incelendiğinde alveolar kırık tespit edilmemiştir. On altı aylık takip sonucunda klinik ve radyografik olarak herhangi bir komplikasyona rastlanmamıştır.

Anahtar Kelimeler

• Konik Işınlı Bilgisayarlı Tomografi
• Lateral Lüksasyon
• Splint

Kaynakça

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