A Rare Complication in an Untreated Horizontal Root Fracture Case

Year 2019, Volume: 6 Issue: 3, 396 - 399, 17.12.2019

Fatih Tulumbacı , Volkan Arıkan , Aylin Akbay Oba , Fethi Atıl

https://doi.org/10.15311/selcukdentj.357968

Abstract

Intra-alveolar root fractures in permanent teeth are
rare following dental traumatic injuries. The diagnosis of root fractures
depends on careful clinical and radiographic examination. The successful
treatment of a root-fractured tooth involves repositioning and fixation.
Although the outcome of a root fracture is generally favourable, complications
such as pulpal necrosis, radicular resorption and pulpal canal obliteration can
arise. A radicular cyst is an inflammatory cyst that develops as a result of
untreated dental caries, with pulp necrosis and periapical infection following
chemical, physical or bacterial injury. In this case report, the diagnosis and
treatment of a rare case of a radicular cyst, which occurred as a result of
pulp necrosis following horizontal root fracture, and an apical root fragment,
which was displaced by the cystic lesion to the base of the nasal cavity, are presented.

Keywords

Root fractures, radicular cyst, Cone-beam computed tomography

Tedavi edilmeyen Horizontal Kök Kırığı Olgusunda Nadir Bir Komplikasyon

Abstract

Travmatik
diş yaralanmalarından sonra daimi dişlerde intra-alveolar kök fraktürleri nadir
olarak görülmektedir. Kök kırıklarının tanısı dikkatli klinik ve radyografik
muayanelere bağlıdır. Kök kırığı olan bir dişin başarılı bir şekilde tedavisi
yeniden konumlandırmayı ve fiksasyonu gerektirir. Kök kırığının sonucu
genellikle olumlu olmasına rağmen, pulpal nekroz, radiküler rezorpsiyon ve
pulpa kanal obliterasyonu gibi komplikasyonlar ortaya çıkabilir. Radiküler
kist, tedavi edilmemiş diş çürüğü, kimyasal, fiziksel veya bakteriyel hasar
sonrası pulp nekrozu ve periapikal enfeksiyon sonucu gelişen bir inflamatuar
kisttir. Bu olgu sunumunda, yatay kök kırığı sonrası pulpa nekrozu sonucu
ortaya çıkan nadir bir radiküler kist olgusunun ile kistik lezyonla burun
tabanı arasında yer değiştiren apikal kök kırığı parçasının tanı ve tedavisi sunulmaktadır.

Keywords

Kök kırıkları, konik ışınlı bilgisayarlı tomografi, radiküler kist

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