DENTOALVEOLAR TRAVMA SONUCUNDA OLUŞAN ÖN DİŞ KRON KIRIKLARININ DİŞİN KIRIK PARÇASININ YENİDEN YAPIŞTIRILMASI TEKNİĞİ İLE TEDAVİSİ: DERLEME

Yıl 2021, Cilt: 8 Sayı: 1, 255 - 265, 30.04.2021

Ülkü Şermet Elbay , Mesut Elbay , Gül Uçar

https://doi.org/10.15311/selcukdentj.620383

Öz

Amaç: Bu çalışmanın amacı, ön dişlerde meydana gelen kron kırıklarının tedavisinde,
kırık fragmanın reataçmanı yöntemi kullanılması ile ilişkili olarak yayınlanmış
teknikler, uygulamalar ve materyalleri inceleyen literatürün derlenmesidir.

Gereç ve Yöntemler: Pubmed, Google Scholar,
LILACS, Web of Science ve Scopus veritabanlarında  ‘dental trauma’, ‘fragment reattachment techniques’, fracture strength’,’ storage medium’,
‘laser etching’, ‘dentin-bonding agent’, ‘composite resin’ anahtar kelimeleri
kullanılarak yapılan tarama sonucunda, reataçman tekniği ile ilişkili 314 adet
makaleye ulaşılmıştır. Araştırmaya klinik ve laboratuar çalışmaları dahil
edilirken, olgu raporları, derlemeler, özetler ve yayınlanmamış bildiriler dahil
edilmemiştir. Çalışmaya dahil edilen yayınlar, 2 araştırmacı tarafından
ayrıntılı olarak gözden geçirilmiş ve veriler mevcut literatür taraması için
değerlendirilmiştir.

Bulgular: Bu derlemede kriterlere uygun olan 35 in-vitro araştırma, 1 adet hem
klinik hem de laboratuar testleri içeren araştırma ve 1 adet klinik
araştırmadan oluşan 37 adet makale incelenmiştir. İncelenen çalışmaların
sınırları dahilinde, kırık parçanın taşıma ortamı, kırık parça yapıştırılırken
kullanılan materyaller ve aşındırma yöntemleri değerlendirildiğinde, sağlam
dişlere benzer kırılma dayanımına sahip dişlerin elde edildiği tespit
edilmiştir.

Sonuçlar:  Estetik olarak
hasta ve ebeveynlerin memnuniyet oranlarının yüksek olması ile birlikte, klinik
ve radyografik durum değerlendirmesinin birlikte yapıldığı uzun dönem
sonuçların verildiği prospektif çalışma sayısının sınırlı olduğu tespit
edilmiştir.

Anahtar Kelimeler: dental travma, ‘kırık parçanın yeniden yapıştırılması’, ‘kırılma
dayanımı’, ‘depolama ortamı’, ‘dentin-bonding ajanı’

Anahtar Kelimeler

Dental Travma, Kırık Parçanın Yeniden Yapıştırılması, Kırılma Dayanımı, Depolama Ortamı, Dentin-bonding Ajanı

TREATMENT OF ANTERIOR TOOTH CROWN FRACTURES WITH FRAGMENT REATTACHMENT TECHNIQUE: REVIEW

Öz

Background: The purpose was to review the recent published literature on reattachment of anterior fractured teeth related to techniques, applications
and materials.

Methods: A search of the dental literature was made using the key words ‘dental
trauma’, ‘fragment reattachment techniques’,
fracture strength’, ‘storage medium’, ‘laser etching’, ‘dentin-bonding agent’
and ‘composite resin’ on Pubmed, Google Scholar, LILACS, Web of Science and Scopus. As a result of the
search, 314 articles related to the fragment reattachment technique were reached. Included were published
papers on clinical studies and laboratory testing on fragment reattachment
techniques. Case series, reviews, abstracts and unpublished papers were not
included in the study. These publications were reviewed in detail by two
observers and the data were evaluated for current literature review.

Results: Thirty-seven papers fulfilled the inclusion criteria were evaluated (35
papers on laboratory trials, and 1 clinical trial and 1 paper both on clinical
and laboratuvary trial). Within the limits of the studies examined, when
fragment reattachment techniques was used, it was determined that the teeth
having the fracture strength similar to that of the solid teeth were obtained
by evaluating the transport media, the materials used in the bonding of the
fracture part and the etching techniques.

Conclusions:  Although the satisfaction rates of patients and parents
are high in aesthetic, the number of prospective trials in which long-term
results of clinical and radiographic assessment are given together is limited.

Keywords: 

‘dental trauma’,
‘fragment reattachment techniques’, ‘fracture
strength’, ‘storage medium’, ‘dentin-bonding agent’

Anahtar Kelimeler

Dental Trauma, Fragment Reattachment Techniques, Fracture Strength, Storage Medium, Dentin-bonding Agent

Kaynakça

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