NESLİHAN EBRU ŞENIŞIK, FİLİZ AYDOĞAN AKGÜN

Aktif Sabit Ortodontik Tedavi Sırasında Meydana Gelen Dental Travma: Vaka Raporu

Bu vaka raporunun amacı sabit ortodontik tedavi sırasında dental travmaya maruz kalan hastanın tedavisini sunmaktır. Kliniğimizde beş aydır sabit ortodontik tedavi görmekte olan 16 yaşında bayan hasta travma geçirmiş ve travmadan iki gün sonra kliniğimize gelmiştir. Hasta evinde senkop geçirdiğini ve düştüğünü belirtmişti. Ekstraoral olarak alt dudakta laserasyon intraoral olarak alt sanral keserlerde lateral lüksasyonla birlikte ekstrüzyon gözlenmiştir. Travmadan hemen sonra pulpanın vitalitesinin net olarak değerlendirilememesinden dolayı kök kanal tedavisi ertelenmiştir. Travmadan sonra her iki travmaya uğramış diş üzerindeki aktif ortodontik kuvvet kaldırılmıştır. 7 ay sonra travmaya maruz kalan dişlerin pulpalarının vital olduğu tespit edilmiştir. Daha sonra hafif ortodontik kuvvetlerle sıralama ve seviyeleme yapılmış, başlangıçta planlandığı gibi estetik bir gülüş ve ideal bir okluzyon elde edilmiştir. Aktif ortodontik tedavinin bitiminden on iki ay sonra alınan periapikal radyografta madibular keser dişlerin pulpasında kısmi obliterasyon tespit edilmiştir. Her altı ayda bir rutin klinik ve radyografik değerlendirme gerekmektedir.Anahtar kelimeler: sabit ortodontik tedavi, travma, mandibuler kesiciler

Anahtar Kelimeler:

sabit ortodontik tedavi, travma, mandibular kesiciler

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