THE DECORONATION TECHNIQUE IN THE TREATMENT OF ANKYLOSIS

Yıl 2019, Cilt: 1 Sayı: 2, 20 - 25, 30.06.2019

Buket Ayna Sema Çelenk

Öz

Avulsion
is one of the most severe type of dental injuries in permanent teeth. The time
of replantation is main determinant of the treatment prognosis. When the
periodontal ligament is damaged in the permanent teeth after trauma, the repair
process may result in ankylosis. Ankylosis interferes with the vertical growth
of the alveolar process, which can lead to an open bite, an unesthetic smile,
infraocclusion of anklosed tooth, tilting of the adjacent teeth, elongation of
antagonist teeth, and occlusal disharmony. Removal of an ankylosed tooth may be
difficult and traumatic leading to esthetic and functional problems for young
patients. Recently a treatment option for ankylosed teeth named ‘decoronation’
has gained interest. In this article, in terms of prosthetic rehabilitation
which can be done later, recent literature on decoronation demonstrating its
importance and clinical benefits has been reviewed. 

Anahtar Kelimeler

Ankiloz, dekoronasyon, growth

ANKİLOZ TEDAVİSİNDE DEKORONASYON TEKNİĞİ

Öz

Avülsiyon daimi dişlerde görülen en ciddi diş yaralanmalarından
biridir. Dişin replantasyon zamanı tedavi prognozunun temel belirleyicisidir.
Daimi dişlerde periodontal ligamentin travma sonrası hasar gördüğü durumlarda,
onarım işlemi dişin ankilozuna yol açabilir. Ankiloz alveoler prosesin büyümesini
durdurarak açık kapanışa, estetik olmayan gülüşe, dişin infraoklüzyonuna, komşu
dişlerin devrilmesine, antagonist dişlerin uzamasına ve oklüzal düzensizliğe
yol açabilir. Ankiloze bir dişin çıkarılması ise zor ve travmatik olup, genç
hastalarda estetik ve fonksiyonel pek çok soruna yol açabilir. Son zamanlarda
ankiloze dişler için “dekoronasyon tekniği” olarak adlandırılan bir tedavi
seçeneği ilgi çekmektedir. Bu makalede, ileriye dönük protez rehabilitasyonu
açısından, önemini ve klinik yararlarını gösteren dekronasyon üzerine
yayınlanmış güncel literatürler gözden geçirilmiştir. 

Anahtar Kelimeler

Ankiloz, dekoronasyon, büyüme

Kaynakça

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