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Avulsiyon tedavisinde güncel yaklaşımlar

Yıl 2009, Cilt: 12 Sayı: 2, 179 - 186, 30.10.2011

Ozlem Akgun Gunseli Guven Polat Ceyhan Altun

Öz

Avulsion is the partially or completely taking out of the tooth from the dental socket; and replantation is replacing the teeth which have been partially or completely avulsed by trauma. Because of the fact that avulsion is such a rare occurrence, dentists are in need of reading the guidelines and getting the posted information on dental association web sites. But unfortunately, even recent guidelines do not address the question of whether it is in the patient’s best interests to replant a tooth. In addition to this, it is important that the merits and shortcomings of clinical guidelines should be understood clearly before they are used to make clinical decisions. In this article, guidelines for management of avulsed teeth are reviewed primarily based on the current literature.

ÖZET

Travmatik yaralanma sonrası dişin alveoler soketten tamamen çıkmasına avulsiyon, travma sonucu parsiyel veya total olarak alveoler soketten çıkmış olan dişin veya dişlerin tekrar yerine yerleştirilmesine replantasyon adı verilmektedir. Avulsiyon, sık görülen bir olay olmadığından diş hekimi böyle bir durumla karşılaştığında öncelikle bu konuyla ilgili yayınları okumak veya internetten bilgi almak ihtiyacı hissetmektedir. Fakat ne yazık ki son yıllarda yayınlanmış yayınlar bile hastaların hekime diş replantasyonu ile ilgili sorabileceği soruların yanıtlarını tam olarak içermemektedir. Bununla birlikte klinik tedavi prensiplerinin önemi ve kusurları klinik olarak kullanımlarından önce iyice anlaşılmalıdır. Bu makalede, avulsiyon tedavisinde uygulanması önerilen yöntemler güncel literatür ışığında derlenmiştir.

Anahtar kelimeler: Dental avulsiyon, replantasyon, dental travma.

Anahtar Kelimeler

Dental avulsion; replantation; dental trauma.

Kaynakça

  • Trope M. Avulsion and replantation. Refuat Hapeh Vehashinayim. 2002; 19: 6-15.
  • American Association of Endodontists. Treatment of traumatic dental injuries: recommendation guidelines of the American Association of Endodontists. Chicago: American Association of Endodontists. Available at. http://www.aae.orgt/dentalpro/guidelines.htm. Ram D, Cohenca N. Therapeutic protocols for avulsed permanent teeth: review and clinical update. Pediatr Dent. 2004; 26: 251-5.
  • Andreasen JO, Andreasen F. Textbook and color atlas of traumatic injuries of teeth. 1st Ed.Copenhagen. Munksgaart 1994; 425.
  • Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, at al. Guidelines for the management of traumatic dental injuries. II. Avulsion of Permanent Teeth. Dent Traumatol 2007; 23: 6.
  • Barrett EJ, Kenny DJ. Avulsed permanent teeth: a review of the literature and treatment guidelines. Endod Dent Traumatol 1997; 13: 163.
  • Zerman N, Cavalleri G. Traumatic injuries to permanent incisors. Endodontics and Dent Traumatol 1993; 9: 61-4.
  • Tzigkounakis V, Merglová V, Hecová H, Netolický J. Retrospective clinical study of 90 avulsed permanent teeth in 58 children Dent Traumatol. 2008; 24: 598-602.
  • Davidovich E, Moskovitz M, Moshonov J. Replantation of an immature permanent central incisor following pre-eruptive traumatic avulsion. Dent Traumatol. 2008; 24: 47-52.
  • Trope M. Clinical management of the avulsed tooth: present strategies and future directions. Dent Traumatol 2002; 18: 1-11.
  • Andreasen JO, Andreasen FM Essentials of traumatic injuries to the teeth, 2nd edn. Copenhagen: Munksgaard Mosby; 2000; 113-31.
  • Pohl Y, Wahl G, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. III. Tooth loss and survival analysis. Dent Traumatol 2005; 21: 102–10.
  • Sahin S, Saygun NI, Kaya Y, Ozdemir A. Treatment of complex dentoalveolar injury-avulsion and loss of periodontal tissue: a case report. Dent Traumatol. 2008; 24: 581-4.
  • Lin S, Zuckerman O, Fuss Z, Ashkenazi M. New emphasis in the treatment of dental trauma: avulsion and luxation. Dental Traumatology 2007; 23: 297-303.
  • Protocols for clinical pediatric dentistry. 3rd Ed. The Journal of Pedodontics 1995; 31-32.
  • Royal College of Surgeons of England. Treatment of avulsed permanent teeth of children. London, 1997. Available from URL: http://www.rcseng.ac.uk/dental/fds/clinical_guidelines).
  • Andreasen JO, Andreasen F, Bakland L, Flores MT. Traumatic dental injuries. A manual, 2nd edn. Oxford:Blackwell Munksgaard; Hammarström L, Pierce A., Blomlöf L, Feiglin B, Lindskog S. Tooth avulsion and replantation-a review. Endod Dent Traumatol. ; 2: 1-8. Hiltz J, Trope M. Vitality of human lip fibroblasts in milk, Hanks balanced salt solution and Viaspan storage media. Endod Dent Traumatol. 1991; 7: 69-72.
  • Trope M, Friedman S. Periodontal healing of replanted dog teeth stored in Viaspan, milk and Hank's balanced salt solution. Endod Dent Traumatol. 1992; 8: 183-8.
  • Blomlöf L, Lindskog S, Andersson L, Hedström KG, Hammarström L. Storage of experimentally avulsed teeth in milk prior to replantation. J Dent Res 1983; 62: 912-6.
  • Ozan F, Polat ZA, Tepe B, Er K. Influence of storage media containing Salvia officinalis on survival of periodontal ligament cells. J Contemp Dent Pract. 2008; 9: 17-24.
  • Cvek M, Cleaton-Jones P, Austin J, Lownie J, Kling M, Fatti P. Effect of topical application of doxycycline on pulp revascularization and periodontal healing in replanted monkey incisors. Endod Dent Traumatol 1990; 6: 170-6.
  • Ashkenazi M, Marouni M, Sarnat H. In vitro viability, mitogenicity and clonogenic capacities of periodontal ligament fibroblasts after storage in four media supplemented with growth factors. Dent Traumatol 2001; 17: 27-35.
  • Filippi C, Kirschner H, Filippi A, Pohl Y. Practicability of a tooth rescue concept-the use of a tooth rescue box. Dent Traumatol 2008; : 422-9.
  • Andreasen JO, Kristerson L. Evaluation of different types of autotransplanted connective tissues as potential periodontal ligament substitutes. An experimental replantation study in monkeys. Int J Oral Surg 1981; 10: 189–201.
  • Hammarström L, Blomlöf L, Feiglin B, Andersson L, Lindskog S. Replantation of teeth and antibiotic treatment. Endod Dent Traumatol ; 2: 51-57. Ritter ALS, Ritter AV, Murrah V, Sigurdsson A, Trope M. Pulp revascularization of replanted immature dog teeth after treatment with minocycline and doxycycline assessed by laser Doppler flowmetry, radiography, and histology. Dent Traumatol 2004; 20: 75
  • Sutter VL, Jones MJ, Ghoneim, AT. Antimicrobial susceptibilities of bacteria associated with periodontal disease. Antimicrob Agent Chemother 1983; 23: 483-6.
  • Baker PJ, Evans RT, Coburn RA, Genco RJ. Tetracycline and its derivatives strongly bind to and are released from the tooth surface in active form. J Periodontol 1983; 54: 580-5.
  • Terranova VP, Franzetti LC, Hie S, Di Florio RM, Lyall RM, Wikesjo UM, Barker PJ, Christersson LA, Genco RJ. A biochemical approach to periodontal regeneration: tetracycline treatment of dentin promotes fibroblast adhesion and growth. J Periodontal Res 1986; 21: 7.
  • Bosshardt DD, Schroeder HE. How repair cementum becomes attached to the resorbed roots of human permanent teeth. Acta Anat (Basel). 1994; 150(4): 253-66.
  • Gregoriou A, Jeansonne B, Musselman R. Timing of calcium hydroxide therapy in the treatment of root resorption in replanted teeth in dogs. Endod Dent Traumatol 1994; 10: 268-75.
  • Hammarström L, Blomlöf L, Feiglin B, Lindskog S. Effect of calcium hydroxide treatment of periodontal repair and root resorption. Endod Dent Traumatol 1986; 2: 184-9.
  • Nerwich A, Figdor D, Messer H. pH changes in root dentin over a week period following root canal dressing with calcium hydroxide. J Endod 1993; 19: 302-26.
  • Çobankara FK, Üngör M. Travma Sonucu Avulse Olmus Daimi Dislerin Prognozunda Endodontik Tedavinin Önemi: Vaka Raporu T Klin J Dental Sci 2001, 7: 46-51.
  • Andersson L, Bodin I, Söensen S. Progression of root resorption following replantation of human teeth after extended extraoral storage. Endod Dent Traumatol 1989 Feb; 5(1): 38-47.
  • Andreasen JO, B M, Jacobsen H, Andreasen F. Replantation of avulsed permanent incisors. 2. Factors related to pulpal healing. Endod Dent Traumatol 1995; 11: 59-68.
  • Percinoto C, Russo MC, Lima JEO, Andrioni JN, Benfatti SV, Bertoz FA. Repair process in replanted teeth after chemical removal of periodontal root fibers. Rev Odontol UNESP 1988; 17: 73-81.
  • Bjorvatn K, Selvig KA, Klinge B. Effect of tetracycline and SnF2 on root resorption in replanted incisors in dogs. Scand J Dent Res ; 97: 477-82. Mahajan SK, Sidhu SS. Effect of fluoride on root resorption of autogenous dental replants. Clinical study. Aust Dent J 1981; 26: 42-5.
  • Reeve CM, Sather AH, Parker JA. Resorption pattern of replanted formalin-fixed teeth in dogs. J Dent Res 1968; 43: 825.
  • Nordenram A, Bang G, Anneroth G. A histopathologic study of replanted teeth with superficially demineralized root surfaces in Java monkeys. Scand J Dent Res 1973; 81: 294-302.
  • Levin L, Bryson EC, Caplan D, Trope M. Effect of topical alendronate on root resorption of dried replanted dog teeth. Dent Traumatol 2001;17: 120-26.
  • Panzarini SR, Perri de Carvalho AC, Poi WR, Sonoda CK. Use of vitamin C in delayed tooth replantation. Braz Dent J 2005; 16: 17-22.
  • Mori GG, Garcia RB. Microscopic study of the effect of root surface treatment with acetazolamide in avulsed and re-implanted rat teeth. Rev Fac Odontol Bauru 2002; 10: 180-5.
  • Wallace JA, Vergona K. Epithelial rests function in replantation: is splinting necessary in replantation? Oral Surg Oral Med Oral Pathol 1990; 70: 644-9.
  • Davis GT, Knott SC. Dental trauma in Australia. Aust Dent J ; 29: 217-21. Kling M, Cvek M, Mejare I. Rate and predietability of pulp revascularization in therapeutically replanted permanent incisors. Endod Dent Traumatol 1986; 2: 83-9.
  • Gregoriou A, Jeansonne B, Musselman R. Timing of calcium hydroxide therapy in the treatment of root resorption in replanted teeth in dogs. Endod Dent Traumatol 1994; 10: 268-75. Yaz" ma Adresi:
  • Doç.Dr.Günseli GÜVEN POLAT GATA Di Hekimli i Bilimleri Merkezi Pedodonti A.D. ETL:K/ANKARA Tel : 0 312 304 6039 Faks
  • E-posta : guvengunseli@yahoo.com

AVULS YON TEDAV S NDE GÜNCEL YAKLA IMLAR

Yıl 2009, Cilt: 12 Sayı: 2, 179 - 186, 30.10.2011

Ozlem Akgun Gunseli Guven Polat Ceyhan Altun

Öz

Travmatik yaralanma sonras di in alveoler soketten tamamen ç kmas na avulsiyon, travma sonucu parsiyel veya total olarak alveoler soketten ç km olan di in veya di lerin tekrar yerine yerle tirilmesine replantasyon ad verilmektedir. Avulsiyon, s kgörülen bir olay olmad ndan dikar la t nda öncelikle bu konuyla ilgili yay nlar okumak veya internetten bilgi almak ihtiyac hissetmektedir. Fakat ne yaz k ki son y llarda yay nlanm yay nlar bile hastalar nreplantasyonu ile ilgili sorabilece i sorular n yan tlar n tam olarak içermemektedir. Bununla birlikte klinik tedavi prensiplerinin önemi ve kusurlar klinik olarak kullan mlar ndan önce iyice anla lmal d r. Bu makalede, avulsiyon tedavisinde uygulanmas önerilen yöntemler güncel literatür

Anahtar Kelimeler

Dental avulsiyon replantasyon dental travma

Kaynakça

  • Trope M. Avulsion and replantation. Refuat Hapeh Vehashinayim. 2002; 19: 6-15.
  • American Association of Endodontists. Treatment of traumatic dental injuries: recommendation guidelines of the American Association of Endodontists. Chicago: American Association of Endodontists. Available at. http://www.aae.orgt/dentalpro/guidelines.htm. Ram D, Cohenca N. Therapeutic protocols for avulsed permanent teeth: review and clinical update. Pediatr Dent. 2004; 26: 251-5.
  • Andreasen JO, Andreasen F. Textbook and color atlas of traumatic injuries of teeth. 1st Ed.Copenhagen. Munksgaart 1994; 425.
  • Flores MT, Andersson L, Andreasen JO, Bakland LK, Malmgren B, Barnett F, at al. Guidelines for the management of traumatic dental injuries. II. Avulsion of Permanent Teeth. Dent Traumatol 2007; 23: 6.
  • Barrett EJ, Kenny DJ. Avulsed permanent teeth: a review of the literature and treatment guidelines. Endod Dent Traumatol 1997; 13: 163.
  • Zerman N, Cavalleri G. Traumatic injuries to permanent incisors. Endodontics and Dent Traumatol 1993; 9: 61-4.
  • Tzigkounakis V, Merglová V, Hecová H, Netolický J. Retrospective clinical study of 90 avulsed permanent teeth in 58 children Dent Traumatol. 2008; 24: 598-602.
  • Davidovich E, Moskovitz M, Moshonov J. Replantation of an immature permanent central incisor following pre-eruptive traumatic avulsion. Dent Traumatol. 2008; 24: 47-52.
  • Trope M. Clinical management of the avulsed tooth: present strategies and future directions. Dent Traumatol 2002; 18: 1-11.
  • Andreasen JO, Andreasen FM Essentials of traumatic injuries to the teeth, 2nd edn. Copenhagen: Munksgaard Mosby; 2000; 113-31.
  • Pohl Y, Wahl G, Filippi A, Kirschner H. Results after replantation of avulsed permanent teeth. III. Tooth loss and survival analysis. Dent Traumatol 2005; 21: 102–10.
  • Sahin S, Saygun NI, Kaya Y, Ozdemir A. Treatment of complex dentoalveolar injury-avulsion and loss of periodontal tissue: a case report. Dent Traumatol. 2008; 24: 581-4.
  • Lin S, Zuckerman O, Fuss Z, Ashkenazi M. New emphasis in the treatment of dental trauma: avulsion and luxation. Dental Traumatology 2007; 23: 297-303.
  • Protocols for clinical pediatric dentistry. 3rd Ed. The Journal of Pedodontics 1995; 31-32.
  • Royal College of Surgeons of England. Treatment of avulsed permanent teeth of children. London, 1997. Available from URL: http://www.rcseng.ac.uk/dental/fds/clinical_guidelines).
  • Andreasen JO, Andreasen F, Bakland L, Flores MT. Traumatic dental injuries. A manual, 2nd edn. Oxford:Blackwell Munksgaard; Hammarström L, Pierce A., Blomlöf L, Feiglin B, Lindskog S. Tooth avulsion and replantation-a review. Endod Dent Traumatol. ; 2: 1-8. Hiltz J, Trope M. Vitality of human lip fibroblasts in milk, Hanks balanced salt solution and Viaspan storage media. Endod Dent Traumatol. 1991; 7: 69-72.
  • Trope M, Friedman S. Periodontal healing of replanted dog teeth stored in Viaspan, milk and Hank's balanced salt solution. Endod Dent Traumatol. 1992; 8: 183-8.
  • Blomlöf L, Lindskog S, Andersson L, Hedström KG, Hammarström L. Storage of experimentally avulsed teeth in milk prior to replantation. J Dent Res 1983; 62: 912-6.
  • Ozan F, Polat ZA, Tepe B, Er K. Influence of storage media containing Salvia officinalis on survival of periodontal ligament cells. J Contemp Dent Pract. 2008; 9: 17-24.
  • Cvek M, Cleaton-Jones P, Austin J, Lownie J, Kling M, Fatti P. Effect of topical application of doxycycline on pulp revascularization and periodontal healing in replanted monkey incisors. Endod Dent Traumatol 1990; 6: 170-6.
  • Ashkenazi M, Marouni M, Sarnat H. In vitro viability, mitogenicity and clonogenic capacities of periodontal ligament fibroblasts after storage in four media supplemented with growth factors. Dent Traumatol 2001; 17: 27-35.
  • Filippi C, Kirschner H, Filippi A, Pohl Y. Practicability of a tooth rescue concept-the use of a tooth rescue box. Dent Traumatol 2008; : 422-9.
  • Andreasen JO, Kristerson L. Evaluation of different types of autotransplanted connective tissues as potential periodontal ligament substitutes. An experimental replantation study in monkeys. Int J Oral Surg 1981; 10: 189–201.
  • Hammarström L, Blomlöf L, Feiglin B, Andersson L, Lindskog S. Replantation of teeth and antibiotic treatment. Endod Dent Traumatol ; 2: 51-57. Ritter ALS, Ritter AV, Murrah V, Sigurdsson A, Trope M. Pulp revascularization of replanted immature dog teeth after treatment with minocycline and doxycycline assessed by laser Doppler flowmetry, radiography, and histology. Dent Traumatol 2004; 20: 75
  • Sutter VL, Jones MJ, Ghoneim, AT. Antimicrobial susceptibilities of bacteria associated with periodontal disease. Antimicrob Agent Chemother 1983; 23: 483-6.
  • Baker PJ, Evans RT, Coburn RA, Genco RJ. Tetracycline and its derivatives strongly bind to and are released from the tooth surface in active form. J Periodontol 1983; 54: 580-5.
  • Terranova VP, Franzetti LC, Hie S, Di Florio RM, Lyall RM, Wikesjo UM, Barker PJ, Christersson LA, Genco RJ. A biochemical approach to periodontal regeneration: tetracycline treatment of dentin promotes fibroblast adhesion and growth. J Periodontal Res 1986; 21: 7.
  • Bosshardt DD, Schroeder HE. How repair cementum becomes attached to the resorbed roots of human permanent teeth. Acta Anat (Basel). 1994; 150(4): 253-66.
  • Gregoriou A, Jeansonne B, Musselman R. Timing of calcium hydroxide therapy in the treatment of root resorption in replanted teeth in dogs. Endod Dent Traumatol 1994; 10: 268-75.
  • Hammarström L, Blomlöf L, Feiglin B, Lindskog S. Effect of calcium hydroxide treatment of periodontal repair and root resorption. Endod Dent Traumatol 1986; 2: 184-9.
  • Nerwich A, Figdor D, Messer H. pH changes in root dentin over a week period following root canal dressing with calcium hydroxide. J Endod 1993; 19: 302-26.
  • Çobankara FK, Üngör M. Travma Sonucu Avulse Olmus Daimi Dislerin Prognozunda Endodontik Tedavinin Önemi: Vaka Raporu T Klin J Dental Sci 2001, 7: 46-51.
  • Andersson L, Bodin I, Söensen S. Progression of root resorption following replantation of human teeth after extended extraoral storage. Endod Dent Traumatol 1989 Feb; 5(1): 38-47.
  • Andreasen JO, B M, Jacobsen H, Andreasen F. Replantation of avulsed permanent incisors. 2. Factors related to pulpal healing. Endod Dent Traumatol 1995; 11: 59-68.
  • Percinoto C, Russo MC, Lima JEO, Andrioni JN, Benfatti SV, Bertoz FA. Repair process in replanted teeth after chemical removal of periodontal root fibers. Rev Odontol UNESP 1988; 17: 73-81.
  • Bjorvatn K, Selvig KA, Klinge B. Effect of tetracycline and SnF2 on root resorption in replanted incisors in dogs. Scand J Dent Res ; 97: 477-82. Mahajan SK, Sidhu SS. Effect of fluoride on root resorption of autogenous dental replants. Clinical study. Aust Dent J 1981; 26: 42-5.
  • Reeve CM, Sather AH, Parker JA. Resorption pattern of replanted formalin-fixed teeth in dogs. J Dent Res 1968; 43: 825.
  • Nordenram A, Bang G, Anneroth G. A histopathologic study of replanted teeth with superficially demineralized root surfaces in Java monkeys. Scand J Dent Res 1973; 81: 294-302.
  • Levin L, Bryson EC, Caplan D, Trope M. Effect of topical alendronate on root resorption of dried replanted dog teeth. Dent Traumatol 2001;17: 120-26.
  • Panzarini SR, Perri de Carvalho AC, Poi WR, Sonoda CK. Use of vitamin C in delayed tooth replantation. Braz Dent J 2005; 16: 17-22.
  • Mori GG, Garcia RB. Microscopic study of the effect of root surface treatment with acetazolamide in avulsed and re-implanted rat teeth. Rev Fac Odontol Bauru 2002; 10: 180-5.
  • Wallace JA, Vergona K. Epithelial rests function in replantation: is splinting necessary in replantation? Oral Surg Oral Med Oral Pathol 1990; 70: 644-9.
  • Davis GT, Knott SC. Dental trauma in Australia. Aust Dent J ; 29: 217-21. Kling M, Cvek M, Mejare I. Rate and predietability of pulp revascularization in therapeutically replanted permanent incisors. Endod Dent Traumatol 1986; 2: 83-9.
  • Gregoriou A, Jeansonne B, Musselman R. Timing of calcium hydroxide therapy in the treatment of root resorption in replanted teeth in dogs. Endod Dent Traumatol 1994; 10: 268-75. Yaz" ma Adresi:
  • Doç.Dr.Günseli GÜVEN POLAT GATA Di Hekimli i Bilimleri Merkezi Pedodonti A.D. ETL:K/ANKARA Tel : 0 312 304 6039 Faks
  • E-posta : guvengunseli@yahoo.com
Toplam 46 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Review
Yazarlar

Ozlem Akgun

Gunseli Guven Polat

Ceyhan Altun

Yayımlanma Tarihi 30 Ekim 2011
Gönderilme Tarihi 30 Ekim 2011
Yayımlandığı Sayı Yıl 2009Cilt: 12 Sayı: 2

Kaynak Göster

EndNote Akgun O, Guven Polat G, Altun C (01 Ekim 2011) Avulsiyon tedavisinde güncel yaklaşımlar. Cumhuriyet Dental Journal 12 2 179–186.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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