İmmatür Sürekli Dişlerin Etkilendiği Komplike Bir Travma Olgusu

Yıl 2020, Cilt: 6 Sayı: 1, 8 - 11, 30.04.2020

Deniz Sıla Özdemir Halenur Altan

Öz

Çocukların dişlerinde travmatik yaralanmalar genellikle dişlerin gelişiminin devam ettiği ve kök oluşumunun henüz tamamlanmadığı anterior bölgede görülür. Bu olgu sunumunda travma sonucu 3 farklı tipte dental yaralanmanın görüldüğü anterior dişlerin tedavisinin sunulması amaçlanmıştır.
8 yaşındaki erkek hasta trafik kazasından bir gün sonra kliniğimize başvurdu. Yapılan klinik ve radyografik muayenede 12 numaralı dişte komplike olmayan kron kırığı, 11 numaralı dişte sublüksasyon tespit edildi. 21 numaralı dişin avülse olduğu ve kaza yerinde bulunamadığı öğrenildi. 11 ve 12 numaralı dişlerin tedavilerinin tamamlanmasının ardından 21 numaralı diş boşluğunun uygun protetik tedavilerin yapılacağı yaşa kadar korunması için hareketli yer tutucu planlandı.
Tedavi sonrası 3,6,9 ve 12 aylık takiplerde maksiller sağ santral dişte periapikal iyileşme, dentin duvarlarında kalınlaşma ve kök boyunda uzama görülmüştür. Ayrıca maksiller sağ santral diş vitalitesi devam etmektedir ve maksiller sol santral diş boşluğu korunmuştur.

Anahtar Kelimeler

Dental Travma, İmmatür Diş, Rejeneratif Endodontik Tedavi, Hareketli Yer Tutucu

A Complicated Trauma Case In Immature Permanent Teeth

Öz

Dental traumatic injuries in children are usually seen in the anterior region, where the development of the teeth continues, and the root formation is not yet complete. In this case report, we aimed to present the treatment of anterior teeth with three different types of dental injuries as a result of trauma.
An 8-year-old male patient was referred to the clinic one day after the traffic accident. As a result of clinical and radiographic examination, uncomplicated crown fracture in the maxillary right lateral incisor and subluxation in the maxillary right central incisor were detected. It was learned that the maxillary left central incisor was avulsed and was not found at the accident site. After the treatment of the maxillary right central and lateral incisors, a removable space maintainer was planned to protect the maxillary left central incisor cavity until the age of appropriate prosthetic treatments.
Following treatment, periapical healing, thickening of dentin walls, and increase in root length were observed of maxillary right central incisor at 3,6,9 and 12 months follow-up. In addition, the vitality of the maxillary right central tooth continues and the maxillary left central tooth cavity is preserved.

Anahtar Kelimeler

Dental Trauma, Immature Tooth, Regenerative Endodontic Treatment, Removable Space Maintainer

Kaynakça

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