Case Report
Year 2023,
Volume: 10 Issue: 4, 327 - 331, 15.06.2023
Abstract
Amaç: Replantasyon; periodontal desteğini kaybetmiş dişlerin kanal tedavisinin tamamlanmasının ardından, bilinçli olarak çekilerek, çekim soketine tekrar yerleştirilmesi olarak tanımlanmaktadır. Bu sayede hastanın estetik ve fonksiyonu tekrardan sağlanmış olur. Bu vaka raporunda maksiller santral kesici dişin replantasyonunun 10 aylık klinik ve radyolojik raporu sunulmuştur.
Olgu: Sistemik olarak sağlıklı sigara içmeyen 41 yaşında kadın hasta santral kesici dişinde mobilite ve ilgili bölgede diş eti kanaması şikâyeti ile kliniğimize başvurdu. Hastanın klinik ve radyolojik muayenesi sonucu dişte şiddetli periodontal yıkım, derin periodontal patolojik cepler ve buna eşlik eden Miller sınıf III mobilite tespit edildi. Detertraj, kök yüzey düzleştirmesi ve oral hijyen eğitimini içeren Faz1 periodontal tedavi sırasında ilgili dişin kök kanal tedavisi tamamlandı. Reimplantasyon işlemine dişin atravmatik olarak çekimi ile başlandı, dişin extraoral olarak kök yüzeyindeki sementin tamamen uzaklaştırılmasına dikkat edilerek kök yüzey düzleştirmesi gerçekleştirildi. Daha sonra diş 5dk tetrasiklin HCI (100mg/ml) solüsyonunda bekletildi. Steril salin solüsyununda yıkandıktan sonra çekim soketine yerleştirildi, komşu dişlerle birlikte geçici olarak splintlendi. 2 haftalık geçici splint işleminden sonra daimî fiber destekli splint yapıldı.
Bulgular: 10 aylık takip sonunda ilgili bölgede inflamasyonun çözüldüğü, ceplerin elimine olduğu ve radyolojik olarak belirgin kemik kazanımının olduğu görülmüştür. Bu süre boyunca herhangi bir komplikasyon gelişmediği ve hastanın tedaviden memnun olduğu kaydedilmiştir.
Sonuç: Periodontal olarak umutsuz dişlerin replantasyonunun, kısa sürede tamamlanması, ekonomik olması, estetiğin sağlanabilmesi ve aynı zamanda kemik rezorpsiyonunu engelleyip, kemik kazanımı sağlayarak gelecek implant cerrahisini olumlu etkilemesi nedeniyle kayda değer bir tedavi yaklaşımı olduğu düşünülmektedir.
Anahtar Kelimeler: Fiberle güçlendirilmiş splint, mobilite, periodontitis, replantasyon
References
- 1. Weine, F.S., The case against intentional replantation. The Journal of the American Dental Association, 1980. 100(5): p. 664-668.
- 2. Sapir, S. and J. Shapira, Decoronation for the management of an ankylosed young permanent tooth. Dental Traumatology, 2008. 24(1): p. 131-135.
- 3. Demiralp, B., et al., Intentional replantation for periodontally involved hopeless teeth. Dental Traumatology, 2003. 19(1): p. 45-51.
- 4. Dryden, J.A. and D.E. Arens, Intentional replantation. A viable alternative for selected cases. Dental Clinics of North America, 1994. 38(2): p. 325-353.
- 5. Lu, D.P., Intentional replantation of periodontally involved and endodontically mistreated tooth. Oral Surgery, Oral Medicine, Oral Pathology, 1986. 61(5): p. 508-513.
- 6. Baykara, M. and K. Eratalay, Replantation in cases with advanced periodontal destruction. J Hacettepe Fac Dent, 1995. 19: p. 124-8.
- 7. Carlsson, G., H. Thilander, and B. Hedegård, Histologic changes in the upper alveolar process after extractions with or without insertion of an immediate full denture. Acta Odontologica Scandinavica, 1967. 25(1): p. 21-43.
- 8. Pietrokovski, J. and M. Massler, Alveolar ridge resorption following tooth extraction. The Journal of prosthetic dentistry, 1967. 17(1): p. 21-27.
- 9. Kumar, A. and P. Singh, Intentional Replantation of Teeth: A Report of Two Cases.
- 10. Sharma, N. and M. Duggal, Replantation in general dental practice. British Dental Journal, 1994. 176(4): p. 147-151.
- 11. Lindskog, S., et al., The role of the necrotic periodontal membrane in cementum resorption and ankylosis. Dental Traumatology, 1985. 1(3): p. 96-101.
- 12. Mahajan, S. and S. Sidhu, Periodontal ligament, extra-oral period and use of fluorides in replantation of teeth. The Indian journal of medical research, 1982. 75: p. 441-445.
- 13. Messkoub, M., Intentional replantation: a successful alternative for hopeless teeth. Oral surgery, oral medicine, oral pathology, 1991. 71(6): p. 743-747.
- 14. Hammarström, L., L. Blomlöf, and S. Lindskog, Dynamics of dentoalveolar ankylosis and associated root resorption. Dental Traumatology, 1989. 5(4): p. 163-175.
- 15. Andreasen, J., Analysis of pathogenesis and topography of replacement root resorption (ankylosis) after replantation of mature permanent incisors in monkeys. Swedish dental journal, 1980. 4(6): p. 231-240.
- 16. Cvek, M., et al., Effect of topical application of doxycycline on pulp revascularization and periodontal healing in reimplanted monkey incisors. Dental Traumatology, 1990. 6(4): p. 170-176.
- 17. Sae‐Lim, V., et al., The effect of systemic tetracycline on resorption of dried replanted dogs' teeth. Dental Traumatology, 1998. 14(3): p. 127-132.
- 18. Sae‐Lim, V., C. Wang, and M. Trope, Effect of systemic tetracycline and amoxicillin on inflammatory root resorption of replanted dogs' teeth. Dental Traumatology, 1998. 14(5): p. 216-220.
- 19. Hammarström, L., et al., Replantation of teeth and antibiotic treatment. Dental Traumatology, 1986. 2(2): p. 51-57.
- 20. Babay, N., Attachment of human gingival fibroblasts to periodontally involved root surface following scaling and/or etching procedures: a scanning electron microscopy study. Braz Dent J, 2001. 12(1): p. 17-21.
- 21. Baker, P., et al., Tetracycline and its derivatives strongly bind to and are released from the tooth surface in active form. Journal of periodontology, 1983. 54(10): p. 580-585.
- 22. Golub, L., et al., Tetracyclines inhibit tissue collagenase activity: a new mechanism in the treatment of periodontal disease. Journal of periodontal research, 1984. 19(6): p. 651-655.
- 23. Hamanaka, E.F., et al., Replantation as treatment for extrusive luxation. Brazilian Dental Journal, 2015. 26: p. 308-311.
- 24. Kehoe, J.C., Splinting and replantation after traumatic avulsion. Journal of the American Dental Association (1939), 1986. 112(2): p. 224-230.
- 25. Wallace, J.A. and K. Vergona, Epithelial rests' function in replantation: is splinting necessary in replantation? Oral surgery, oral medicine, oral pathology, 1990. 70(5): p. 644-649.
- 26. Newman, M.G., et al., Carranza's clinical periodontology. 2011: Elsevier health sciences.
Year 2023,
Volume: 10 Issue: 4, 327 - 331, 15.06.2023
Abstract
References
- 1. Weine, F.S., The case against intentional replantation. The Journal of the American Dental Association, 1980. 100(5): p. 664-668.
- 2. Sapir, S. and J. Shapira, Decoronation for the management of an ankylosed young permanent tooth. Dental Traumatology, 2008. 24(1): p. 131-135.
- 3. Demiralp, B., et al., Intentional replantation for periodontally involved hopeless teeth. Dental Traumatology, 2003. 19(1): p. 45-51.
- 4. Dryden, J.A. and D.E. Arens, Intentional replantation. A viable alternative for selected cases. Dental Clinics of North America, 1994. 38(2): p. 325-353.
- 5. Lu, D.P., Intentional replantation of periodontally involved and endodontically mistreated tooth. Oral Surgery, Oral Medicine, Oral Pathology, 1986. 61(5): p. 508-513.
- 6. Baykara, M. and K. Eratalay, Replantation in cases with advanced periodontal destruction. J Hacettepe Fac Dent, 1995. 19: p. 124-8.
- 7. Carlsson, G., H. Thilander, and B. Hedegård, Histologic changes in the upper alveolar process after extractions with or without insertion of an immediate full denture. Acta Odontologica Scandinavica, 1967. 25(1): p. 21-43.
- 8. Pietrokovski, J. and M. Massler, Alveolar ridge resorption following tooth extraction. The Journal of prosthetic dentistry, 1967. 17(1): p. 21-27.
- 9. Kumar, A. and P. Singh, Intentional Replantation of Teeth: A Report of Two Cases.
- 10. Sharma, N. and M. Duggal, Replantation in general dental practice. British Dental Journal, 1994. 176(4): p. 147-151.
- 11. Lindskog, S., et al., The role of the necrotic periodontal membrane in cementum resorption and ankylosis. Dental Traumatology, 1985. 1(3): p. 96-101.
- 12. Mahajan, S. and S. Sidhu, Periodontal ligament, extra-oral period and use of fluorides in replantation of teeth. The Indian journal of medical research, 1982. 75: p. 441-445.
- 13. Messkoub, M., Intentional replantation: a successful alternative for hopeless teeth. Oral surgery, oral medicine, oral pathology, 1991. 71(6): p. 743-747.
- 14. Hammarström, L., L. Blomlöf, and S. Lindskog, Dynamics of dentoalveolar ankylosis and associated root resorption. Dental Traumatology, 1989. 5(4): p. 163-175.
- 15. Andreasen, J., Analysis of pathogenesis and topography of replacement root resorption (ankylosis) after replantation of mature permanent incisors in monkeys. Swedish dental journal, 1980. 4(6): p. 231-240.
- 16. Cvek, M., et al., Effect of topical application of doxycycline on pulp revascularization and periodontal healing in reimplanted monkey incisors. Dental Traumatology, 1990. 6(4): p. 170-176.
- 17. Sae‐Lim, V., et al., The effect of systemic tetracycline on resorption of dried replanted dogs' teeth. Dental Traumatology, 1998. 14(3): p. 127-132.
- 18. Sae‐Lim, V., C. Wang, and M. Trope, Effect of systemic tetracycline and amoxicillin on inflammatory root resorption of replanted dogs' teeth. Dental Traumatology, 1998. 14(5): p. 216-220.
- 19. Hammarström, L., et al., Replantation of teeth and antibiotic treatment. Dental Traumatology, 1986. 2(2): p. 51-57.
- 20. Babay, N., Attachment of human gingival fibroblasts to periodontally involved root surface following scaling and/or etching procedures: a scanning electron microscopy study. Braz Dent J, 2001. 12(1): p. 17-21.
- 21. Baker, P., et al., Tetracycline and its derivatives strongly bind to and are released from the tooth surface in active form. Journal of periodontology, 1983. 54(10): p. 580-585.
- 22. Golub, L., et al., Tetracyclines inhibit tissue collagenase activity: a new mechanism in the treatment of periodontal disease. Journal of periodontal research, 1984. 19(6): p. 651-655.
- 23. Hamanaka, E.F., et al., Replantation as treatment for extrusive luxation. Brazilian Dental Journal, 2015. 26: p. 308-311.
- 24. Kehoe, J.C., Splinting and replantation after traumatic avulsion. Journal of the American Dental Association (1939), 1986. 112(2): p. 224-230.
- 25. Wallace, J.A. and K. Vergona, Epithelial rests' function in replantation: is splinting necessary in replantation? Oral surgery, oral medicine, oral pathology, 1990. 70(5): p. 644-649.
- 26. Newman, M.G., et al., Carranza's clinical periodontology. 2011: Elsevier health sciences.
There are 26 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Dentistry |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 15, 2023 |
| Submission Date | January 20, 2023 |
| Published in Issue | Year 2023 Volume: 10 Issue: 4 |
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