Travma Sonucunda Kırılan Üst Santral Dişin Kırık Parça Kullanılarak Restorasyonu: Olgu Sunumu (Reataçman Tekniği: Olgu Sunumu)

Yıl 2022, Cilt: 12 Sayı: 2, 336 - 340, 17.05.2022

Alperen Murat Yalnız , Yıldırım Hakan Bağış

https://doi.org/10.33631/sabd.1115427

Öz

Travma nedeniyle etkilenen anterior dişlerde oluşan kırıklar; ağrı, fonksiyon kaybı, estetik ve psikolojik sorunlara yol açabilir. Anterior dişlerde görülen kırıkların restorasyonlarında, doğal diş form, fonksiyon ve optik özelliklerini geri kazandırmak önemlidir. Bu olgu raporunda, travma sonucu gerçekleşmiş kron kırığında uygulanan tedavi yaklaşımı sunulmuştur. On üç yaşındaki erkek hasta sağ üst santral dişinde 1 hafta önce meydana gelen travma sonucu oluşan kırık şikâyeti ile kliniğimize başvurdu. Hasta şehir dışında olduğundan geçen sürede kırık parça suda bekletildi. Kırık parçanın yerine uygunluğu kontrol edildi. Herhangi bir preparasyon yapmadan hem diş hem de kırık parça da total-etch adeziv teknik kullanıldı. Diş rengine uygun seçilen kompozit rezin dişe ve kırık parçaya uygulanarak kırık parça yerine yerleştirildi. Travma sonucu kırılmış dişler kendi kırık parçaları kullanılarak; doğal diş yapısını bozmadan estetik ve fonksiyonel şekilde başarıyla restore edilebilirler.

Anahtar Kelimeler

Dental travma, reataçman tekniği, konservatif tedavi

Restoration of Traumatized Upper Central Incisor Tooth with Using Broken Piece: Case Report ( Reattachment Technique: Case Report)

Öz

Teeth affected by trauma may cause pain, loss of function, aesthetic and psychological problems. In restorating fractures, important to restore the natural tooth form, function and optical properties. In this case report, treatment approach for fracture caused by trauma has been presented. Young male patient was applied to our clinic with a fracture of the upper right central incisor one week after the trauma. The broken piece was kept in water during the time. The suitability of the broken piece was checked. Total-etch adhesive technique was used. Composite resin applied to both the tooth and broken piece, and broken piece was restored correctly. Fractured teeth due to trauma can be successfully restore with using their broken pieces, aesthetically and functionally without change the natural tooth structure.

Anahtar Kelimeler

Dental travma, reattachment technique, conservative treatment

Kaynakça

• Andreasen JO. Etiology and pathogenesis of traumatic dental injuries. A clinical study of 1,298 cases. Scand J Dent Res. 1970; 78(4): 329-42.
• Reis A, Loguercio AD, Kraul A, Matson E. Reattachment of fractured teeth: a review of literature regarding techniques and materials. Oper Dent. 2004; 29(2): 226-33.
• Oz IA, Haytaç MC, Toroglu MS. Multidisciplinary approach to the rehabilitation of a crown-root fracture with original fragment for immediate esthetics: a case report with 4-year follow-up. Dent Traumatol. 2006; 22(1): 48-52.
• Alvares I, Sensi LG, Araujo EM Jr, Araujo E. Silicone index: an alternative approach for tooth fragment reattachment. J Esthet Restor Dent. 2007; 19(5): 240-46.
• Badami V, Reddy SK. Treatment of complicated crown-root fracture in a single visit by means of rebonding. J Am Dent Assoc. 2011; 142(6): 646-50.
• Macedo GV, Diaz PI, De O Fernandes CA, Ritter AV. Reattachment of anterior teeth fragments: a conservative approach. J Esthet Restor Dent. 2008; 20(1): 5-20.
• Chosack A, Eidelman E. Rehabilitation of a fractured incisor using the patient's natural crown-case report. J Dent Child. 1964; 71: 19-21.
• Reis A, Kraul A, Francci C, et al. Re-attachment of anterior fractured teeth: fracture strength using different materials. Operative Dentistry. 2002; 27(6): 621-7.
• Pusman E, Cehreli ZC, Altay N, Unver B, Saracbasi O, Ozgun G. Fracture resistance of tooth fragment reattachment: effects of different preparation techniques and adhesive materials. Dent Traumatol. 2010; 26(1): 9-15.
• Murchison DF, Burke FJ, Worthington RB. Incisal edge reattachment: indications for use and clinical technique. British Dental Journal. 1999; 186(12): 614-9.
• Andreasen FM, Norén JG, Andreasen JO, Engelhardtsen S, Lindh-Strömberg U. Long-term survival of fragment bonding in the treatment of fractured crowns: a multicenter clinical study. Quintessence Int. 1995; 26(10): 669-81.
• Vijayakumaran V. Evaluation of crown restoration of fractured anterior teeth using original tooth fragment. J Dent Res. 1998; 77: 696.
• Baratieri LN, Monteiro Júnior S, Caldeira de Andrada MA. The "sandwich" technique as a base for reattachment of dental fragments. Quintessence Int. 1991; 22(2): 81-5.
• Perdigão J, Van Meerbeek B, Lopes MM, Ambrose WW. The effect of a re-wetting agent on dentin bonding. Dent Mater. 1999; 15(4): 282-95.
• Krastl G, Filippi A, Zitzmann NU, Walter C, Weiger R. Current aspects of restoring traumatically fractured teeth. Eur J Esthet Dent. 2011; 6(2): 124-41.
• Farik B, Munksgaard EC, Andreasen JO, Kreiborg S. Drying and rewetting anterior crown fragments prior to bonding. Endod Dent Traumatol. 1999; 15(3): 113-6.
• Demarco FF, Fay RM, Pinzon LM, Powers JM. Fracture resistance of re-attached coronal fragments--influence of different adhesive materials and bevel preparation. Dent Traumatol. 2004; 20(3): 157-63.
• Sengun A, Ozer F, Unlu N, Ozturk B. Shear bond strengths of tooth fragments reattached or restored. J Oral Rehabil. 2003; 30(1): 82-6.