Tamamen intrüze olan maksiller santral diş ile exstruziv lüksasyona uğrayan maksiller santral dişin tedavisi ve klinik takibi: Olgu raporu
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Tarih
2020
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Dicle Üniversitesi Diş Hekimliği Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Bu olgu sunumunun amacı dental travmaya bağlı olarak meydana gelen ekstrüziv ve intrüziv lüksasyonlu apical oluşumunu
tamamlamamış (immatür) farklı iki dişin Uluslararası Dental Travmatoloji Derneği Rehberlerinin en son güncellenen 2020 kılavuzuna göre
düzenlenecek tedavi yaklaşımını sunmaktır.8 yaşındaki erkek hasta ağaçtan düşmeye bağlı travma öyküsü ile en yakın sağlık kuruluşuna
başvurmuştur. Dış merkezde yapılan acil müdahaleden bir gün sonra Dicle Üniversitesi Diş Hekimliği Fakültesi Pedodonti Anabilim Dalına
sevk edilmiştir. Yapılan intraoral muayenede 11 nolu dişin travma şiddetine bağlı olarak tamamen intrüze olduğu, 21 nolu dişte ise
ekstruziv lüksasyon meydana geldiği ve bütünlüğü bozulmuş splint varlığı tespit edildi. 21 nolu dişte mobilite, perküsyon hassasiyeti ve
periodontal dokularda kanama varlığı tespit edildi. Ekstraoral bölgede laserasyonlar belirlendi. Yapılan radyografik muayenede 11 ve 21
nolu dişlerin kök gelişiminin henüz tamamlanmadığı (immatur) görüldü ve 21 nolu dişe ise repozisyonlandırma yapılmasına karar verildi.
Repozisyonlandırma sonrasında periapikal radyografi alınarak dişin aksının doğruluğu kontrol edildi. Hastamıza oral hijyen önerileri
tavsiye edildi. 11 nolu intrüziv dişin sürme takibi planlandı. Travmatik dental yaralanma sonrasında çocuk bireylerde iyi bir muayene ve
tedavi planlamasının yapılması gerekmektedir. Pediatrik dental travma olgularında uygun tanı ve tedavi sürecinin yönetilebilmesi için de
güncel rehberler takip edilmelidir. Vakamızın rutin klinik ve radyolojik takipleri devam etmektedir.
The aim of this case report is to present the treatment approach to be arranged according to the latest updated 2020 guideline of the International Association for Dental Traumatology Guidelines for two different teeth that have not completed their apical formation (immature) with extrusive and intrusive luxation due to dental trauma. An 8-year-old male patient applied to the nearest health institution with a history of trauma due to falling from a tree. He was transferred to Dicle University Faculty of Dentistry, Department of Pedodontics, one day after the emergency intervention in the external center. In the intraoral examination, it was determined that tooth 11 was completely intruded due to the severity of the trauma, and tooth 21 had extrusive luxation and a splint whose integrity was broken. Mobility, percussion sensitivity and bleeding in the periodontal tissues were detected in tooth 21. Lacerations were detected in the extraoral region. In the radiographic examination, it was seen that the root development of the teeth 11 and 21 was not completed (immatur) yet, and it was decided to reposition the tooth number 21. After repositioning, periapical radiography was taken and the accuracy of the tooth axis was checked. Oral hygiene recommendations were recommended to our patient. The eruption follow-up of the intrusive tooth #11 was planned. After a traumatic dental injury, a good examination and treatment planning should be done in children. In pediatric dental trauma cases, current guidelines should be followed in order to manage the appropriate diagnosis and treatment process. Routine clinical and radiological follow-up of our case continues.
The aim of this case report is to present the treatment approach to be arranged according to the latest updated 2020 guideline of the International Association for Dental Traumatology Guidelines for two different teeth that have not completed their apical formation (immature) with extrusive and intrusive luxation due to dental trauma. An 8-year-old male patient applied to the nearest health institution with a history of trauma due to falling from a tree. He was transferred to Dicle University Faculty of Dentistry, Department of Pedodontics, one day after the emergency intervention in the external center. In the intraoral examination, it was determined that tooth 11 was completely intruded due to the severity of the trauma, and tooth 21 had extrusive luxation and a splint whose integrity was broken. Mobility, percussion sensitivity and bleeding in the periodontal tissues were detected in tooth 21. Lacerations were detected in the extraoral region. In the radiographic examination, it was seen that the root development of the teeth 11 and 21 was not completed (immatur) yet, and it was decided to reposition the tooth number 21. After repositioning, periapical radiography was taken and the accuracy of the tooth axis was checked. Oral hygiene recommendations were recommended to our patient. The eruption follow-up of the intrusive tooth #11 was planned. After a traumatic dental injury, a good examination and treatment planning should be done in children. In pediatric dental trauma cases, current guidelines should be followed in order to manage the appropriate diagnosis and treatment process. Routine clinical and radiological follow-up of our case continues.
Açıklama
Anahtar Kelimeler
İntrüzyon, Ekstrüzyon, Maksiller santral diş, Intrusion, Extrusion, Maxillary central tooth
Kaynak
Dicle Dişhekimliği Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
21
Sayı
1
Künye
Polat, Y. ve Çelenk, S. (2020). Tamamen intrüze olan maksiller santral diş ile exstruziv lüksasyona uğrayan maksiller santral dişin tedavisi ve klinik takibi: Olgu raporu. Dicle Dişhekimliği Dergisi, 21(1), 22-26.
