Gül UÇAR, Ülkü ŞERMET ELBAY, Mesut ELBAY

Dentoalveolar Travma Sonucunda Oluşan Ön Diş Kron Kırıklarının Dişin Kırık Parçasının Yeniden Yapıştırılması Tekniği İle Tedavisi: Derleme

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

Treatment of Anterior Tooth Crown Fractures with Fragment Reattachment Technique: Review

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

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