Doğukan SEVLİ, Murat İnanç CENGİZ, Resül ÇOLAK, Fatih EROL, Seda CENGİZ, Zeynep AYDIN

Yirmi İki Yıllık Travmatik Horizontal Kök Kırığı Tedavisinde Multidisipliner Yaklaşım: On Sekiz Aylık Olgu Takibi

Dental travmalar insanlarda tedavi gerektiren yaralanmaların %5’ini oluşturmaktadır. İçerisinde kök kırıkları pulpa, dentin ve sement dokularını içerebilen yaralanmalardır. Horizontal kök kırıkları genellikle üst çene ön bölgede görülmekte ve sıklıkla kök ucu kapanmış dişler etkilenmektedir Bunların %75’ ini santral kesiciler oluşturmaktadır. Travmatik yaralanmalar karmaşık bir yapıya sahiptir ve tedavisi uzmanların multidisipliner yaklaşımını gerektirebilmektedir. Bu vaka raporunda 44 yaşında erkek hastanın 22 yıl önce polis akademisi eğitimleri sırasında yüzüne aldığı bir darbe sonucu dişlerinde bir travma olduğu fakat hiçbir tedavi görmediği öğrenilmiştir.Yirmi iki yıl sonra mobilitenin aşırı artması şikayetiyle kliniğimize başvuran hastanın kendi kronu ile multidisipliner tedavi sonrasında 1.5 yıllık takibi sunulmaktadır.

A Multidisciplinary Approach in the Treatment of Twenty-two Years of Traumatic Horizontal Root Fracture: Eighteen Months Case Follow-up

Dental traumas accounts for 5% of all injuries that require treatment in humans. Among dental traumas, root fractures are injuries that may involve pulp, dentin and cementum tissues. Horizontal root fractures are frequently seen in the upper jaw anterior region and generally closed apex teeth are affected. 75% of these constitute central incisors. Traumatic injuries have a complex structure and their treatment may require a multidisciplinary approach. In this case report, it was learned that a 44-year-old male patient had a trauma in his teeth but received no treatment 22 years ago during his training at the police academy. After 22 years, the patient who applied to our clinic with a complaint of excessive mobility had an multidisciplinary treatment with his own crown and has been followed up for 1.5 years.

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1. Andreasen JO, Andreasen FM, Andersson L. Textbook and color atlas of traumatic injuries to the teeth, 4th edn. Oxford, UK: Wiley- Blackwell; 2007.

2. Andreasen JO. Traumatic Injuries of the Teeth. 2nd edn. Philadelphia:W.B. Saunders,1981, p.(50-119)

3. Poi WR, Manfrin TM, Holland R, Sonoda CK. Repair characteristics of horizontal root fracture: a case report. Dent Traumatol 2002; 18: 98–102.

4. Andreasen JO, Andreasen FM. Root fractures In:Textbook and color atlas of traumatic injuries to teeth.3rd ed. Copenhagen:,1993:279-311.

5. Smidt A, Venezia E. Techniques for immedia- te core buildup of endodontically treated teeth. Quintessence Int 2003; 34: 258-268.

6. Baratieri LN, Monteiro S, De Andrada MAC. Tooth fracture reattachment: case reports. Quintessence Int 1990;21:261–70.

7. Baratieri LN, Monteiro S, Cardoso CA, Filho JCM. Coronal fracture with invasion of the biologic width: a case report. Quintessence Int 1993;24:85–91.

8. Flores MT, Andreasen JO, Bakland LK, Feiglin B, Gutmann JL, Oikarinen K, et al. [Guidelines for the evaluation and management of traumatic dental injuries]. Dent Traumatol 2001;17(1):1-4.

9. Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, et al. [Guidelines for the management of traumatic dental injuries. I. Fractures and luxations of permanent teeth]. Dent Traumatol 2007;23(2):66-

10.Needleman HLThe art and science of managing traumatic injuries to primary teeth. Dent Traumatol 2011;27:295 9.

11.Andreasen JO, Andreasen FM, Mejare I, Cvek M. Healing of 400 intra-alveolar root fractures. 2. Effect of treatment factors such as treatment delay, repositioning, splinting type and period and antibiotics. Dent Traumatol 2004; 20: 203-211.

12.Westphalen VPD, de Sousa MH, da Silva Neto UX, Fariniuk F, Carneiro E. Management of horizontal root fractured teeth: report of three cases. Dent Traumatol 2008; 24: 11-15.

13.Yuzugullu B, Polat O, Ungor M. Multidisciplinary approach to traumatized teeth: a case report. Dent Traumatol 2008; 24: 27-30.

14.Versiani MA, de Sousa CJ, Cruz-Filho AM, Perez DE, Sousa- Neto MD. Clinical management and subsequent healing of teeth with horizontal root fractures. Dent Traumatol 2008; 24: 136-139.

15.Subay RK, Subay MO, Yilmaz B, Kayatas M. Intraradicular splinting of a horizontally fractured central incisor: a case report. Dent Traumatol 2008; 24: 680- 684.

16. Yildirim T, Gencoglu N. Use of mineral trioxide aggregate in the treatment of horizontal root fractures with a 5-year follow-up: report of a case. J Endod 2009; 35: 292-295.

17.Diangelis AJ, Andreasen JO, Ebeleseder KA, Kenny DJ, Trope M, Sigurdsson A, Andersson L, Bourguignon C, Flores MT, Hicks ML, Lenzi AR, Malmgren B, Moule AJ, Pohl Y, Tsukiboshi M. International Association of Dental Traumatology guidelines for the management of traumatic dental injuries: 1. Fractures and luxations of permanent teeth. Dent Traumatol. 2012;28:2-12.

18.Cobankara FK, Ungor M. Spontaneously healed horizontal root fracture in maxillary first premolar: report of a case. Dent Traumatol 2007; 23: 120-122.

19.Polat-Ozsoy O, Gulsahi K, Veziroglu F. Treatment of horizontal root-fractured maxillary incisors—a case report. Dent Traumatol 2008; 24: 91-95.

20.Olsburg S, Jacoby T, Krejci I. Crown fractures in the permanent dentition: pulpal and restorative considerations. Dent Traumotol 2002;18:103–15.

21.Calışkan MK, Türkün M, Gomel M. Surgical extrusion of crown-root-fractured teeth: a clinical review. Int endod J 1999;32:146–51.

22.Kocadereli I, Taşman F, Güner SB. Combined endodontic orthodontic and prosthodontic treatment of fractured teeth.Case report.. Aust Dent J 1998;43:28–31.

23.Van Dijken JW, Sjo¨ stro¨m S, Wing K. The effect of

different types of composite resin fillings on marginal gingivae. J Clin Periodontol 1987;14:185–9.

24.Dragoo MR. Resin-ionomer and hybrid-ionomer cements. 2.Human clinical and histologic wound healing responses in specific periodontal lesions. Int J Periodontics Restorative Dent 1997;17:75–87.

25.Martens LC, Beyls HMF, De Craene LG. Reattachment of the original fragment after vertical crown fracture of a permanent central incisor. J Pedod 1988;13:53–62.

26.Andreasen JO, Andreasen FM. Essentials of traumatic injures to the teeth, 1st edn. Copenhagen: Blackwell Munsksgaard; 1994. p. 28–35.

27.Eden E, Yanar SC¸ , Sönmez Ş. Reattachment of subgingivally fractured central incisor with an open apex. Dent Traumotol 2005;21:1–6.

28.Koparal E, Ilgenli T. Reattachment of a subgingivally fractured central incisor tooth fragment: report of a case. J Clin Pediatr Dent 1999;23:113–116.

29.Andreasen FM. Transient root resorption after dental trauma: the clinician's dilemma. J Esthet Restor Dent. 2003;15:80-92

30.Reis A, Francci C, Loguercio AD, Carrilho MR, Rodriques Filho LE. Re-attachment of anterior fractured teeth: Fracture strength using different techniques. Oper Dent 2001;26:287-94.

31.Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: A review of literature regarding techniques and materials. Oper Dent 2004;29:226-33.

32.Abdulkhayum A, Munjal S, Babaji P, Chaurasia VR, Munjal S, Lau H, et al. In-vitro evaluation of fracture strength recovery of reattached anterior fractured tooth fragment using different re-attachment techniques. J Clin Diagn Res 2014;8:208-11.

33.Bosso K, Gonini Júnior A, Guiraldo RD, Berger SB, Lopes MB. Stress generated by customized glass fiber posts and other types by photoelastic analysis. Braz Dent J 2015;26:222-7.

34.Singhal R, Pathak A. Comparison of the fracture resistance of reattached incisor tooth fragments using 4 different materials. J Indian Soc Pedod Prev Dent 2012;30:310-6.

35.Sentineri R, Lombardi T, Berton F, Stacchi C. LaurellGottlow suture modified by Sentineri for tight closure of a wound with a single line of sutures. Br J Oral Maxillofac Surg. 2016;54:18-19

36.Kahler B, Heithersay GS. An evidence-based appraisal of splinting luxated, avulsed and rootfractured teeth. Dent Traumatol. 2008;24:2-1