SÜT VE DAİMİ DİŞLERDE SÜRME PROBLEMLERİ: 4 OLGU SUNUMU

Yıl 2018, Cilt: 28 Sayı: 2, 233 - 238, 22.04.2018

Neşe Akal , Zeynep Yılmaz Mehmet Bani

https://doi.org/10.17567/ataunidfd.419012

Öz

Bu olgu sunumunun amacı; süt ve daimi
dişlerin sürme ve düşme zamanlarındaki değişiklikler nedeni ile ortaya çıkan
dört farklı olgu ve tedavi şekillerini sunmaktır.

İlk olgu Gazi Üniversitesi Diş Hekimliği
Fakültesi Pedo- donti Anabilim Dalı Kliniği’ne dilinde oluşan yara şika- yetiyle
getirilen 2 aylık bebeğin Riga-Fede sendromu teşhisi ile tedavi edilmesi
anlatılmaktadır. İkinci olguda geç sürme şikayeti bulunan 6 yaşındaki erkek
çocuğun gömülü 65 no’lu dişin erken çekiminin yapılması ve nedenleri
belirtilmektedir. Üçüncü olguda süt dişlerinin düşmemesi şikayeti ile
kliniğimize başvuran 10 yaşındaki kız çocuğun süpernümerer dişlerinin ve
dentigeröz kistin tedavisi yer almaktadır. Son olguda ise 8 yaşındaki hastada
odontomaya bağlı persiste süt dişinin ve odontomanın tedavileri
sunulmaktadır.  

İlk olguda diş çekimi yapıldı ve kontrolde
dildeki ülserasyonun tamamen iyileştiği, bebeğin beslenme sorununun ortadan
kalktığı saptandı. İkinci olguda gömülü diş alındı ve çekim yeri yer tutucu ile
korundu. Üçüncü olguda hem süt dişleri hem de süpernümerer dişler çekildi. 21
no’lu diş sürdürüldü ancak 11 no’lu dişe bağlı kist varlığı tespit edildi. Kist
alınarak daimi dişin sürmesi sağlandı. Son olguda kompaund odontoma ve persiste
süt dişi çıkartıldı. 9. ay kontrolünde 11 no’lu dişin sürememesi sonucu
insizyon ile sürmesi sağlandı.

Diş hekimlerinin süt ve daimi dişlerin sürme ve düşme zamanındaki problemleri erken
teşhisi etmesi, çocuğun diş tedavilerinin prognozunda önemli rol oynamaktadır.

Anahtar
Kelimeler:
Sürme gecikmesi, Riga-Fede sendromu, persiste süt dişi, odontoma, dentijeröz

ERUPTION PROBLEMS IN THE PRIMARY AND PERMANENT TEETH: 4
CASE REPORT

ABSTRACT

The aim of this case
report is to describe four different cases caused by the changes in the
eruption and exfoliation dates of the primary teeth and the treatment methods.

The first case describes
Riga-Fede syndrome diagnoses and treatment of a 2-month-baby admitted to the
Gazi University Faculty of Dentistry Department of Pediatric Dentistry with
complaint of tongue injuries. The second case is about early extraction of
impacted tooth 65 with the causes, which is mentioned in 6-year-old boy with a
complaint of delayed eruption. The third case describes treatment of
supernumerary teeth and dentigerous cyst in 10-year-old girl admitted to our
clinic with the comp- laint of non-exfoliation. In the last case, the treatment
of odontoma and persisted primary teeth due to odontoma in 8-year-old girl.

In the first case
tooth extraction was performed. Follow-ups revealed that ulcers completely
healed in the tongue and the baby's nutritional problems disappeared. In the
second case, the impacted tooth was extracted, and its space was protected by
placeholders. In the third case both primary and supernumerer teeth were
extracted. Eruption of tooth 21 was achieved; but a cyst relative to the teeth
11 was detected. The cyst was extracted and then permanent tooth was provided
to erupt. In the last case compound odontoma and persistent primary teeth were
removed. Because of non eruption even in 9-month follow-up, tooth 11 was
allowed to eruption by incision.

Dentist plays an
important role in the prognosis of the child's dental treatment by early
detection of exfoliation timing problems in primary and permanent teeth.

Keywords: Delayed eruption, Riga-Fede syndrome, persistant primary teeth,
odontoma, dentigerous cyst, mesiodens

Anahtar Kelimeler

Sürme gecikmesi, Riga-Fede sendromu, persiste süt dişi, odontoma

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