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

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