Komplike Kron-Kök Kırıklı Bir Dişin Konservatif Tedavisi: Göreceli Başarı
Travmatik diş yaralanmaları çocuklar ve ergenler arasında oldukça yaygındır. Ön dişlerdeki kron-kök kırıkları restorasyonaçısından zorluk teşkil etmektedir. Bu olgu sunumu, genç yetişkin bir hastada maksiller sağ lateral kesici dişin aşırı maddekaybıyla sonuçlanan komplike kron-kök kırığı tedavisini ve maksiller sağ santral kesici dişteki komplike olmayan kron kırığınıntedavisini açıklamaktadır. 15 yaşında erkek hasta travma sonrası yaralanma ile Endodonti kliniğine başvurdu. Lateral kesicidişin mobil olan kron-kök parçası çıkarıldıktan sonra kök kanal tedavisi iki seansta tamamlandı. Kanal içi medikament olarakkalsiyum hidroksit kullanıldı. Kök kanal dolgusu, cam fiber post simantasyonu ve kırık parçanın adeziv reataçmanı yapıldı.Santral kesici diş kompozit ile restore edildi. İyi bir fonksiyon ve estetik sonuçların gözlenmesi ile erken aşamada başarı eldeedildi. Ancak, hasta kontrol randevularına gelmedi ve 14 ay sonra, yeniden yapıştırılan parçanın kırılması ve kökün ortasınakadar uzanan minör kırıkların oluşmasıyla sonuçlanan ikinci bir travma ile geri geldi, bu yüzden hastanın dişi, çekildi. Alveolerkemik yüksekliğini korumak için dişi ağızda tutmak çok önemli olduğundan, klinisyenler her zaman kırık diş parçalarının reataçmanını bir tedavi seçeneği olarak düşünmelidir. Burada sunulan olguda uygulanan tedavi sabit protez restorasyonlarınınveya implant tedavilerinin ertelenmesinde yeterli ve etkilidir
Anahtar Kelimeler:
komplike kron-kök kırığı, cam fiber post, reataçman, travmatik yaralanma
A Conservative Treatment of A Tooth with Complicated Crown-Root Fracture: Relative Success
Dental traumatic injuries are highly prevalent among children and adolescents. Crown-root fractures of anterior teeth presentdifficulties for restoration. This case report describes the treatment of a complicated crown-root fracture of maxillary rightlateral incisor with extensive loss of tooth structure and uncomplicated crown fracture of maxillary right central incisor in ayoung adult. The 15-year-old male patient was presented to Endodontic clinic with post-traumatic injury. After the mobilecrown-root fragment of lateral incisor was removed, root canal therapy was performed in two visits. Calcium hydroxide wasused as an intra-canal dressing. Root canal filling, glass fiber post cementation and adhesive tooth fragment reattachment wereperformed. Central incisor was restored with composite restoration. Early stage success was achieved with the observance ofgood functional and aesthetic outcomes. However the patient did not attend follow-up visits and returned after 14 months withsecondary trauma which resulted fracture of the reattached part and minor fractures extending to middle root so the tooth wasextracted. As it is crucial to retain the tooth to maintain space and to protect alveolar bone height, clinicians should alwaysconsider trying reattachment of tooth fragments. The case presented here is sufficient and effective in postponing fixed prosthetic restorations or implant treatments.
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- Yayın Aralığı: Yılda 3 Sayı
- Başlangıç: 2019
- Yayıncı: Necmettin Erbakan Üniversitesi
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Komplike Kron-Kök Kırıklı Bir Dişin Konservatif Tedavisi: Göreceli Başarı
Şeref Nur MUTLU, Makbule Bilge AKBULUT, Ayçe ÜNVERDİ ELDENİZ