Dilaceration of maxillary incisors: Two case reports

Dilaserasyon, süt dişlerine gelen travma sonucu alttaki daimi dişlerde oluşan komplikasyonlar arasında en sık görülenlerden birisidir. Dilaserasyon, klinik ve radyografik muayene ile teşhis edilebilir. Dilaserasyonun derecesi, dişin pozisyonu, kökgelişim derecesi prognozu etkileyen en önemli etkenlerdir. Bu makalede birikron kök dilaserasyonu diğer ikron dilaserasyonu olan vakalar ve yapılan tedaviler sunulmuştur. İlk vakada, dilasere lateral diş pozisyonundan dolayı tedavisi mümkün olmadığı için çekilerek tedavi sabit ve hareketli protezle tamamlandı. İkinci vakada, kök gelişimi tamamlanmamış, şiddetli krondilaserasyonu olan maksiller sağ santral kesici diş sunulmuştur. Bu vakada, endodontik, periodontal ve operatif tedavileri kapsayan multidisipliner tedavi yaklaşımı izlendi.

Maksiller kesici dişlerin dilaserasyonu: 2 olgu sunumu

Dilaceration of permanent successors is one of the most common complications of trauma to the deciduous teeth. Dilaceration can be diagnosed clinical and radiographic examination. The degree of dilaceration, tooth position and stage of root formation are the most important ingredients for determining prognosis. In this paper, two clinical case of impacted maxillary incisor teeth with severe crown– root and crown dilacerations was described. Incase 1, the treatment was not posssible due to angulation of crown-root dilacerated lateral incisor; so the tooth was extracted and the treatment was concluded with fixed and partial prosthesis. In case 2 was a report of maxillary right central incisor that had a crown dilaceration with a open apice. The treatment was carried out with multidisciplinary approach that included endodontic, operative and periodontal therapy.

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