Treatment of a Tooth With Crown Fracture Complicated By the Presence of the Impacted Mesiodens

Yıl 2018, Sayı: 1, 52 - 56, 01.01.2018

Mesut Elbay Ülkü Şermet Elbay Ceren Uğurluel Bahadır Kan Eser Tutuş

Öz

Children often have traumatic dental injuiries and if teeth, which exposed to trauma leaved untreated; serious complications can occur. Factors such as open bite, increasing overjet with protrusion of upper incisors, and insufŞcient lip closure are identified as predisposing factors associated with trauma cases. In recent years, there is evidence indicating mesiodens as a risk factor in both the treatment and occurence of trauma but it is limited. The purpose of this article was to present the multidisciplinary management of a cyst which has occurred due to late treatment of central tooth with uncomplicated crown fracture and associated with impacted mesiodenses. As a consequence of trauma, the central incisor’s root development was prematurely arrested and had open apex. The case was followed up to 1 year after treatment which showed a good clinical and radiographic examination and that indicates the suitability of the treatment protocol

Anahtar Kelimeler

Mesiodens, Trauma, Uncomplicated crown fracture, Child

Gömülü Meziodensler Tarafından Kompleksleştirilmiş Bir Kron Kırığı Olgusunun Tedavisi

Öz

Çocuklar sıklıkla dental travmaya maruz kalmaktadır ve travmaya maruz kalan diş zamanında tedavi edilmediğinde ciddi komplikasyonlar oluşabilmektedir. Açık kapanış, üst kesici dişlerin protrüzyonu ile artmış over jet, yetersiz dudak kapanışı gibi faktörler travma olguları ile ilişkili predispozan faktörler olarak tanımlanmaktadır. Son yıllarda mesiodens vakalarının dental travma konusunda hem oluşum hem de tedavi sürecinde risk oluşturabileceği yönündeki yayınlar literatürde yer almakla birlikte sınırlı sayıdadır. Bu olgu raporunda, komplike olmayan kron kırığı bulunan, apeksifikasyonu tamamlanmamış santral dişin geç tedavisi sebebiyle meydana gelmiş olan kistik oluşum ve bununla ilişkilenmiş gömülü mesiodens dişlerin multidisipliner tedavisi sunulmuştur. On bir yaşındaki çocuk hastanın tedaviden sonraki bir yıllık takibi sonucunda klinik ve radyografik bulgular tedavi protokolünün uygunluğunu işaret etmektedir

Anahtar Kelimeler

Meziodens, Travma, Komplike olmayan kron kırığı, Çocuk

Kaynakça

• 1. Andreasen FM, Andreasen JO. Crown fractures. Textbook and color atlas of traumatic injuries to the teeth. 3rd ed. Copenhagen Munksgaard; 1994. 219-56.
• 2. Wilson S, Smith GA, Preisch J, Casamassimo PS. Epidemiology of dental trauma treated in an urban pediatric emergency department. Pediatr Emerg Care 1997; 13: 12-5.
• 3. Bastone EB, Freer TJ, McNamara JR. Epidemiology of dental trauma: a review of the literature. Aust Dent J 2000; 45: 2-9.
• 4. Andreasen JO, Jensen SS, Varawan S. The role of antibiotics in preventing healing complications after traumatic dental injuries: a literature review. Endod Topics 2010; 14: 80–92.
• 5. Waterhouse PJ, Whitworth JM, Camp JH, Fuks AB. Chapter 23, Pediatric endodontics: endodontic treatmentfor the primary and young permanent dentition. In:Hargreaves KM, Cohen S, editors. Cohen’s Pathways of the pulp. 10th ed. St Louis Mosby Elsevier; 2011. 808-857.
• 6. Kupietzky A, Rotstein I, Kischinovsky D. A multidisciplinary approach to the treatment of an intruded maxillary permanent incisor complicated by the presence of two mesiodentes. Pediatr Dent 2000; 22: 499-503.
• 7. Alaçam A, Bani M. Mesiodens as a risk factor in treatment of trauma cases. Dent Traumatol 2009; 25: 25-31.
• 8. Mason C,Azam N, Holt RD, Rule DC. A retrospective study of unerupted maxillary incisors associated with supernumerary teeth. Br J Oral Maxillofac Surg 2000; 38: 62-5.
• 9. Stellzig A, Basdra EK, Komposch G. Mesiodentes: incidence, morphology, etiology. J Orofac Orthop 1997; 58: 144-53.
• 10. Russell KA, Folwarczna MA. Mesiodens – diagnosis and managementof a common supernumerary tooth. J Can Dent Assoc 2003; 69: 362–6.
• 11. Garvey MT, Barry HJ, Blake M. Supernumerary teeth: An overview of classification, diagnosis and management. J Can Dent Assoc 1999; 65: 612-6.
• 12. Frost DE, Hersch EV, Levin LM. Anasthesia/Dentoalveolar surgery/ Office management. In: Fonseca RJ, editor. Oral andMaxillofacial Surgery. 1st ed. Philadelphia WB Saunders; 2000. 356-362.
• 13. Omer RS, Anthonappa RP, King NM. Determination of the optimum time for surgical removal of unerupted anterior supernumerary teeth. Pediatr Dent 2010; 32: 14-20.
• 14. Samuel AV, RM, Gupta YM. Management of Complicated Crown Fracture and Associated Impacted MesiodensCase Report with 3yrs Follow-up. J Clin Diagn Res 2014; 8: 32-3.
• 15. Sharma D, Garg S, Singh G, Swami S. Trauma-induced dentigerous cyst involving an inverted impacted mesiodens: case report. Dent Traumatol 2010; 26: 289-91.
• 16. Gondim JO, Neto JJ, Nogueira RL, Giro EM. Conservative management of a dentigerous cyst secondary to primary tooth trauma. Dent Traumatol 2008; 24: 676-9.
• 17. Bharath KP, Revathy V, Poornima S, Subba Reddy VV. Dentigerous cyst in an uncommon site: a rare entity. J Indian Soc Pedod Prev Dent 2011; 29: 99-103.