Rehabilitation of Mandibular Molar Teeth with Single Crown Prosthesis After Root Resection and Hemisection Applications Due to Vertical Root Fracture: Two Case Reports

Öz

Objectives: Hemisection is a multidisciplinary treatment method that might be considered on mandibular molars with single root fractures before extraction. Case report: In this present case report, two mandibular first molars were treated with hemisection due to the vertical root fracture on one of the roots. Fractured roots were separated from the furcation area together with the associated crowns and extracted. 3 months were waited for each case for the recovery of extraction sites. Both cases were planned as single crowns, one of the superstructure was metal-porcelain and the other was a zirconia crown. During the 1 year follow up period, no clinical or radiographic problem was found related to the hemisection method. Conclusion: Mandibular molar teeth with vertical root fracture, if the fracture is limited to one root only, can be successfully treated with the hemisection method and restored with a single crown prosthesis. This method might be considered prior to extraction.

Anahtar Kelimeler

• hemisection
• mandibular molar
• vertical root fracture

Dikey Kök Kırığına Bağlı Mandibular Molar Dişlerde Kök Rezeksiyonu ve Hemiseksiyon Uygulamaları Sonrası Kuron Protezi ile Rehabilitasyonları: İki Olgu Sunumu

Öz

Amaç: Hemiseksiyon; tek kök kırığı olan mandibular molar dişlerde, dişlerin çekimi öncesi düşünülebilecek multidisipliner bir tedavi yöntemidir. Olgu sunumu: Bu olgu sunumunda dikey kök kırığı olan iki mandibular molar diş olgusu hemiseksiyon yöntemiyle tedavi edilmiştir. Dikey kök kırıkların tek kökte sınırlı olması nedeniyle her iki olgu da yönteme uygun bulunmuştur. Dikey kök kırığı bulunan kökler, ilgili kuronları ile birlikte furkasyon bölgesinden ayrılarak çekilmiştir. Çekim yerlerinin iyileşmesi için her olguda 3 ay beklenmiştir. Her iki olgunun protetik rehbailitasyonunda da tek kuron protezi planlanmış, üst yapılardan biri metal-porselen, diğeri ise zirkonyum olarak tercih edilmiştir. 1 yıllık takip sürecinde hemiseksiyon yöntemine bağlı klinik ve radyografik bir soruna rastlanmamıştır. Sonuç: Dikey kök kırığı olan mandibular molar dişleri, eğer kırık tek kökte sınırlı ise hemiseksiyon yöntemini takiben kuron protezi ile başarılı bir şekilde tedavi edilebilir. Bu yöntem, dişin çekiminden önce düşünülebilir.

Anahtar Kelimeler

• dikey kök kırığı
• hemiseksiyon
• mandibular molar

Kaynakça

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