Fethiye ÇAKMAK ÖZLÜ, Hakan YILMAZ, Engin YILDIRAN, M İnanç CENGİZ, Akif TURER

Gömülü Santral Dişlerin Sürdürülmesinde İki Farklı Teknik ile Tedavi Edilen İki Olgu

Bu olgu sunumunda gömülü santral keserlerin sürdürülmesinde iki farklı tekniğin etkinliğinin değerlendirilmiştir. On-bir ve 23 yıl kronolojik yaştaki iki erkek hastanın santral keser dişlerini sürdürmek için sabit ortodontik ataşmanlar uygulandı. Her iki olguda da seviyeleme ve sıralama aşamalarından sonra gömülü dişlerin üzeri cerrahi olarak açılarak cleat ataşmanlar yerleştirildi. Olgu 1; 1 hafta sonra 11 yaşındaki hastanın üst sol santral kesici dişine Kilroy I spring yerleştirilerek aktive edildi, 3. ayın sonunda diş ağızda gözlendi ve diş tamamen sürdükten sonra Kilroy I spring çıkartılarak sabit ortodontik mekaniklerle tedaviye devam edildi. On-altı ay süren tedavinin ardından sabit ataşmanlar çıkartıldı. Olgu 2; 23 yaşındaki hastanın her iki gömülü santralinden alt arkına 1/8 medium lastik kullanımı öğretildi. Altı ay sonunda diş ağızda gözlendi ve tamamen sürdükten sonra sabit ortodontik mekanikler ile tedaviye devam edildi. Yirmiiki ay süren tedavinin ardından sabit ortodontik ataşmanlar çıkartıldı. Bu iki olgu ile gömülü üst keser dişlerin sürdürülmesinde kullanılan her iki tekniğin de multidisipliner yaklaşım ile başarılı olduğu vurgulanmak istenmiştir

Anahtar Kelimeler:

Gömülü Santral Diş, Kilroy Spring, Sürnümerer Diş.

Two Impacted Central Teeth Cases Treated With Two Different Techniques

The objective of this study was to evaluate the effectiveness of two different techniques for the eruption of impacted central incisors. Two male patients first 11 years old; second 23 years old were treated with fixed orthodontic mechanics to erupt the patient’s central incisors. After leveling and aligning stage, cleat attachments surgically placed over the impacted teeth in two cases. Case 1; after 1 week, Kilroy I spring placed on the upper left central incisor teeth and it was activated. At the end of the 3rd month, teeth were observed in the mouth. After removal of Kilroy I spring, fixed orthodontic treatment was continued. Fixed attachments were removed at the end of treatment which was 16 months. Case 2; was taught taking 1/8 medium elastics from impacted centrals to lower arch. At the end of the 6th month, teeth were observed in the mouth and fixed orthodontic treatment was continued. Fixed orthodontic attachments were removed at the end of the treatment period of 22 months. Eruption of the upper incisors was reached successfully with both techniques using multidiciplinary approach

Keywords:

Impacted Central Teeth, Kilroy Spring, Supernumerary Tooth,

PDF

___

1. Snow K. Articulatory proficiency in relation to certain dental abnormalities. J Speech Hearing Disorders 1961; 26: 209-212.
2. Bankson NW, Byrne MC. The relationship between missing teeth and selected consonant sounds. J Speech Hearing Disorders 1962; 27: 341-348.
3. Weinberg B. A cephalometric study of normal and defective-sarticulation and variations in incisor dentition. J Speech Hear Res 1968; 11: 288-300.
4. Howard RD. The unerupted incisor. Dent Pract Dent Rec 1967; 17: 332–342.
5. Brin I, Zilberman Y, Azaz B. The unerupted maxillary central incisor: review of its etiology and treatment. J Dent Child 1982; 43: 352–356.
6. Zilberman Y, Malron M, Shteyer A. Assessment of 100 children in Jerusalem with supernumerary teeth in the premaxillary region. J Dent Child 1992; 59: 44–47.
7. Pasha Z, Choudhari S, Rathod A, Sulabha AN. Bilaterally impacted mandibular supernumerary premolars associated with unusual clinical complications. J Pharm Bioall Sci 2013; 5: 166-169.
8. Kolokitha OG, Papadopoulou AK. Impaction and apical root angulation of the maxillary central incisors due to supernumerary teeth: combined surgical and orthodontic treatment. Am J Orthod Dentofacial Orthop 2008; 134: 153-160.
9. Elham MR, Shamsi A, Farahani M. Treatment of Impacted Maxillary Central Incisor with Removable Appliance: A Case Report. International Journal of Medical and Pharmaceutical 2016; 8: 1-6.
10. Rizzatto SM, de Menezes LM, Allgayer S, Batista EL Jr, Freitas MP, Loro RC. Orthodontically induced eruption of a horizontally impacted maxillary central incisor. Am J Orthod Dentofacial Orthop 2013; 144: 119-129.
11. Czochrowska EM, Stenvik A, Bjercke B, Zachrisson BU. Outcome of tooth transplantation: Survival and success rates 17-41 years posttreatment. Am J Orthod Dentofacial Orthop 2002; 121: 110-119.
12. Moss JP. The indications for the transplantation of maxillary canines in the light of 100 cases. Br J Oral Surg 1975; 12: 268-274.
13. Kajiyama K, Kai H. Esthetic management of an unerupted maxillary central incisor with a closed eruption technique. Am J Orthod Dentofacial Orthop 2000; 118: 224-228.
14. Wreakes G, Cooke MS. The transplantation of canines using direct bonded orthodontic bracket fixation: an improved technique. Br J Orthod 1979; 6: 5-9.
15. Lin, Yng-Tzer J. Treatment of an impacted dilacerated maxillary central incisor. American journal of orthodontics and dentofacial orthopedics 1999; 115: 406-409.
16. Wasserstein, A, Tzur B, Brezniak N. Incomplete canine transposition and maxillary central incisor impaction—a case report. American journal of orthodontics and dentofacial orthopedics 1997; 111: 635-639.
17. Kolokithas G, Karakasis D. Orthodontic movement of dilacerated maxillary central incisor: report of a case. American journal of orthodontics 1979; 76: 310-315.
18. Tanaka E, Watanabe M, Nagaoka K, Yamaguchi K, Tanne K. Orthodontic traction of an impacted maxillary central incisor. J Clin Orthod 2001; 35: 375.
19. Uematsu S, Uematsu T, Furusawa K, Deguchi T, Kurihara S. Orthodontic treatment of an impacted dilacerated maxillary central incisor combined with surgical exposure and apicoectomy. The Angle Orthodontist 2004; 74: 132- 136.
20. Tanaka E, Watanabe M, Nagaoka K, Yamaguchi K, Tanne K. Orthodontic traction of an impacted maxillary central incisor. J Clin Orthod 2001; 35: 375-8.
21. Crawford LB. Impacted maxillary central incisor in mixed dentition treatment. Am J Orthod Dentofac Orthop 1997; 112: 1-7.
22. Macias E, Carlos F, Cobo J. Posttraumatic impaction of both maxillary central incisors. Am J Orthod Dentofac Orthop 2003; 124: 331-338.
23. Kuvvetli SS, Seymen F, Gencay K. Management of an unerupted dilacerated maxillary central incisor: A case report. Dent Traumatol 2007; 23: 257-261.
24. Giampietro F, Cinzia M, Davide F. Orthodontic movement of a dilacerated maxillary incisor in mixed dentition treatment. Dent Traumatol 2009; 25: 451-456.
25. Duncan WK, Ashrafi MH. Management of the nonerupted maxillary anterior tooth. J Am Dent Assoc 1983; 106: 640- 644.
26. Vermette M, Kokich V, Kennedy D. Uncovering maxillary labial impactions. Apically positioned flap versus closed eruption. Angle Orthod 1995; 65: 23.
27. Becker A, Brin I, Ben-Bassat Y, Zilberman Y, Chaushu S. Closed eruption surgical technique for impacted maxillary incisors: a postorthodontic periodontal evaluation. Am J Orthod Dentofacial Orthop 2002; 122: 9.