İmmatür Daimi Keser Dişte Komplike Kron Kırığı İle Birlikte Görülen Şiddetli İntrüziv Lüksasyonun Cerrahi Ve Endodontik Yönetimi: Üç Yıllık Takipli Bir Olgu Sunumu

Abstract

Amaç Bu olgu sunumunun amacı, komplike kron kırığı ile birlikte görülen şiddetli intrüziv lüksasyonun cerrahi ve endodontik tedavi yaklaşımı ile birlikte üç yıllık klinik ve radyografik takip sonuçlarını sunmaktır. Olgu Sunumu Sekiz yaşındaki kız hasta dental travma sonrası Dicle Üniversitesi Diş Hekimliği Fakültesi Çocuk Diş Hekimliği Kliniği’ne başvurmuştur. Klinik ve radyografik değerlendirmede maksiller sol üst santral kesici dişte (21) 7 mm’den fazla intrüziv lüksasyon ve komplike kron kırığı tespit edilmiştir. Travmadan iki gün sonra başvuran hastada diş cerrahi olarak repozisyonlanmış ve esnek splint uygulanmıştır. Aynı seansta pulpa ekstirpasyonu gerçekleştirilmiş ve kök kanal tedavisine başlanmıştır. Splint dört hafta süreyle ağızda tutulmuştur. Takip randevularında kök kanal tedavisi tamamlanmış ve apeks bölgesine Mineral Trioksit Agregat (MTA) apikal bariyer olarak uygulanmıştır. Ardından fiberle güçlendirilmiş kompozit rezin (FGKR) kullanılarak restore edilmiştir. Hastanın klinik ve radyografik takipleri üç yıl boyunca gerçekleştirilmiştir. Sonuç Şiddetli intrüziv lüksasyon vakalarında erken tanı ve uygun tedavi yaklaşımı, uzun dönem prognoz açısından büyük önem taşımaktadır. Cerrahi repozisyon ve uygun endodontik tedavi ile travmaya uğrayan dişlerin fonksiyonunun korunması mümkün olabilmektedir.

Keywords

• Dental travma
• intrüziv lüksasyon
• komplike kron kırığı
• cerrahi repozisyon
• MTA

Surgical and Endodontic Management of Severe Intrusive Luxation Associated with a Complicated Crown Fracture in an Immature Permanent Incisor: A Three-Year Follow-Up Case Report

Abstract

Aims: The aim of this case report was to present the three-year clinical and radiographic follow-up outcomes of the surgical and endodontic management of severe intrusive luxation associated with a complicated crown fracture.

Case Report: An eight-year-old female patient presented to the Department of Pediatric Dentistry at Dicle University Faculty of Dentistry following dental trauma. Clinical and radiographic examination revealed severe intrusive luxation exceeding 7 mm and a complicated crown fracture in the maxillary left permanent central incisor (tooth 21).

The patient presented two days after trauma. The affected tooth was surgically repositioned and stabilized using a flexible splint. During the same session, pulpal extirpation was performed, and root canal treatment was initiated. The splint was retained in the oral cavity for four weeks.

During the follow-up visits, root canal treatment was completed, and Mineral Trioxide Aggregate (MTA) was placed as an apical barrier in the apex region. The tooth was subsequently restored using a fiber-reinforced composite resin (FRC). Clinical and radiographic follow-up of the patient was performed for three years.

Conclusion: Early diagnosis and appropriate treatment approaches are of great importance for the long-term prognosis of severe intrusive luxation cases. Surgical repositioning combined with appropriate endodontic treatment can preserve the function of teeth that have been traumatically injured.

Keywords

• Dental trauma
• intrusive luxation
• complicated crown fracture
• surgical repositioning
• mineral trioxide aggregate (MTA)

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