LÜKSASYON YARALANMALARINDA GEÇİCİ APİKAL YIKIM

Öz

Geçici apikal yıkım (TAB) lüksasyon yaralanma- larından sonra hasar gören dokularda spontan iyileşme ile pulpada kalıcı bir hasar meydana gelmemesi ile sonuçlanan bir durumdur. Yanlış yorumlandığında gereksiz endodontik tedavilerin yapılmasına neden olabilmektedir. Minimal invaziv tedavi yöntemlerinin öneminin arttığı günümüzde TAB takibi, travma gören dişlerde farklı ve koruyucu bir tedavi yaklaşımı olarak değerlendirilmektedir. Bu derlemenin amacı TAB etyolojisi ve patolojisini tanımlamaktır.

Anahtar kelimeler: Diş pulpası kalsifikasyonu, endodonti, kök rezorpsiyonu

Anahtar Kelimeler

• Diş pulpası kalsifikasyonu, endodonti, kök rezorpsiyonu

TRANSIENT APICAL BREAKDOWN AFTER LUXATION INJURIES

Öz

Transient apical breakdown (TAB) is a sequelae of luxation injuries where the injured tissues undergo a spontaneous process of repair with no permanent damage to the pulp. Misdiagnosis of this condition may result in unnecessary endodontic treatment. The purpose of this review was to describe the etiology and pathogenesis of TAB

Anahtar Kelimeler

• dental pulp calcification, endodontics, root resorption

Kaynakça

1. Andreasen JO, Andreasen FM Andersson L. Luxation Injuries of Permanent Teeth: General Findings. In: Textbook and Color Atlas of Traumatic Injuries to the Teeth. 4th ed. Blackwell; Munksgaard: 2007. p.374-82.
2. Andreasen FM, Pedersen VM. Prognosis of luxated permanent teeth-the development of pulp necrosis. Dent Traumatol 1985;1:207-20.
3. Robertson A, Andreasen FM, Andreasen JO, Noren JG. Long-term prognosis of crown- fractured permanent incisors. The effect of stage of root development and associated luxation injury. Int J Paediatr Dent 2000;10:191-9.
4. Andreasen JO, Andreasen FM, Bakland LK, Flores MT. Diagnosis of Pulp Healing Complications. In: Traumatic Dental Injuries: A Manual. 2nd ed. Blackwell; Munksgaard: 2003. p.22.
5. Andreasen FM. Transient apical breakdown and its relation to color and sensibility changes after luxation injuries to teeth. Endod Dent Traumatol 1986;2:9-19.
6. Boyd KS. Transient apical breakdown following subluxation injury: a case report. Endod Dent Traumatol 1995;11:37-40.
7. Cohenca N, Karni S, Rotstein I. Transient apical breakdown following tooth luxation. Dent Traumatol 2003;19:289-91.
8. Tsukiboshi M. Transient Apical Breakdown. In: Treatment Planning for Traumatized Teeth. Ed. Bryn Grisham. 2nd ed. Quintessence Publishing; Hanover Park, IL: 2012. p.143.

9. Skoglund A, Tronstad L, Wallenius K. A microangiographic study of vascular changes in replanted and autotransplanted teeth of young dogs. Oral Surg Oral Med Oral Pathol 1978;45:17-28.
10. Skoglund A, Tronstad L. Pulpal changes in replanted and autotransplanted immature teeth of dogs.J Endod1981;7:309-16.
11. Kristerson L, Andreasen JO. Influence of root development on periodontal and pulpal healing after replantation of incisors in monkeys. Int J Oral Surg 1984;13:313-23.
12. Kobayashi K, Kotani Y, Takahashi T, Nakamura Y, Suzuki E, Ide Y, Shin K. Transient apical breakdown in subluxated maxillary incisor. J Meikai Dent Med 2013;43:63-8.
13. Andreasen FM. Pulpal healing after luxation injuries and root fracture in the permanent dentition. Endod Dent Traumatol1989;5:111-31.
14. Tsukiboshi M. Optimal use of photography, radiography and micro computed tomography scanning in the management of traumatized teeth. Endodontic Topics 2006;14:4-19.
15. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of pre-injury and injury factors such as sex, age, stage of root development, fracture type, location of fracture and severity of dislocation. Dent Traumatol 2004;20: 192-202.
16. Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 1. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol 2004;20:203-11.
17. Cvek M, Mejare I, Andreasen JO. Healing and prognosis of teeth with intra-alveolar fractures involving the cervical part of the root. Dent Traumatol2002;18:57-65.
18. Hecova H, Tzigkounakis V, Merglova V, Netolicky J. A retrospective study of 889 injured permanent teeth. Dent Traumatol 2010;26:466- 75.
19. Andreasen FM, Andreasen JO. Resorption and mineralization processes following root fracture of permanent incisors. Endod Dent Traumatol 1988;4:202-14.
20. Malmgren B, Hübei S. Transient discoloration of the coronal fragment in intra-alveolar root fractures. Dent Traumatol 2012;28:200-4.
21. Cohenca N, Simon JH, Mathur A, Malfaz JM. Clinical indicatios for digital imaging in dento- alveolar trauma. Part 2: root resorption. Dent Traumatol 2007;23:105-13.
22. Çakur B, Sümbüllü MA, Durna D, Çanakçı CF. Dental volumetric computed tomography in the radiological detection of dento-alveolar fracture. J Dent Fac Atatürk Uni 2012;22:57-60.
23. Durack C, Patel S, Davies J, Wilson R, Mannocci F. Diagnostic accuracy of small volume cone beam computed tomography and intraoral periapical radiography for the detection of simulated external inflammatory root resorption. Int Endod J2011;44:136-47.
24. Majorana A, Bardellini E, Conti G, Keller E, Pasini S. Root resorption in dental trauma: 45 cases followed for 5 years. Dent Traumatol 2003;19:262-5.
25. Hermann NV, Lauridsen E, Ahrensburg SS, Gerds JO. following complications subluxation injuries in the permanent dentition: a longitudinal cohort study. Dent Traumatol 2012;28:386-93. Periodontal healing concussion and
26. Hecova H, Tzigkounakis V, Merglova V, Netolicky J. A retrospective study of 889 injured permanent teeth. Dent Traumatol2010;26:466- 75.
27. DiAngelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohi Y, Tsukiboshi M. Internetional Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol2012;28:2-12.
28. Robertson A, Andreasen FM, Bergenholtz G, Andreasen JO, Noren JG. Incidence of pulp necrosis subsequent to pulp canal obliteration from trauma of permanent incisors. JOE 1996;22:557-60.
29. Oginni AO, Adekoya-Sofowora CA, Kolawole KA. Evaluation of radiographs, clinical signs and symptoms obliteration: an aid to treatment decision. Dent Traumatol 2009;25:620-5. with pulp canal