Dental Travma ve Ortodontik Diş Hareketi Arasındaki İlişkiler

Yıl 2017, Cilt: 3 Sayı: 3, 131 - 136, 01.01.2017

Hakan Aydın Kürşat Er

Öz

Amaç: Ortodontik tedavi gerçekleştirilmiş olan hastaların anamnezinde travma geçirmiş diş insidansının yüksek olduğu bilinmektedir. Derlemenin amacı, travmaya maruz kalmış dişlerin ortodontik hareketinde dikkat edilmesi gereken prensiplerin neler olduğunun belirlenmesi, meydana gelebilecek komplikasyonların çözümlerinin incelenmesi ve klinik işlemler için güvenli bir protokolün gelişiminin sağlanmasıdır. Gereç ve Yöntemler: Bu konu ile ilişkili ulusal ve uluslararası dergilerde yayınlanmış olan çalışmalar internet ortamında taranmıştır.Bulgular: Literatürde travmaya maruz kalmış dişlerin ortodontik hareketi ile ilgili bilgilerin sınırlı olduğu görülmektedir. Konu ile ilgili birtakım çalışmalar bulunsa da mevcut çalışmalar klinik işlemler için güvenli bir protokolün gelişimini sağlamamıştır.Sonuç: Dental travma, ortodontik tedavi planında veya devam eden ortodontik tedavide önemli değişikliklerin yapılmasına sebep olabilir. Şiddetli travmaya intrüziv lüksasyon/avülsiyon maruz kalmış dişlerden; ankraj alınmasından, uzun mesafeli hareketler ve intrüziv kuvvetlere maruz bırakılmasından mümkün olduğunca kaçınılmalıdır

Anahtar Kelimeler

Dental travma, Ortodontik hareket, Ortodontik ekstrüzyon

Relationship between Dental Trauma and Orthodontic Tooth Movement

Öz

Objective: It is well known that patients who undergo orthodontic treatment have a high incidence of a dental trauma history. The aim of this review was to determine the principles that should be considered in the orthodontic movement of teeth exposed to trauma and the investigation of the solutions for the complications that can occur and to ensure a secure protocol for the clinical process. Material and Methods: The studies published in the national and international literature related to this topic were reviewed online. Results: There is limited information about orthodontic movement of previously traumatized teeth in the literature. While some studies on this topic are available, they do not provide a reliable protocol for clinical procedures. Conclusion: Dental trauma may cause major changes in the orthodontic treatment plan or continuing orthodontic treatment. Teeth with previous severe traumatic injuries intrusive luxation/avulsion should be avoided as much as possible as regards using as anchor teeth, moving long distances and exposing to intrusive mechanics

Anahtar Kelimeler

Dental trauma, Orthodontic movement, Orthodontic extrusion

Kaynakça

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