Aşınmış dişlerde farklı bir protetik yaklaşım

Mustafa Atala; Mevlut Ocak; Bekir Eser; Nilufer Polat

EN TR

A different prosthetic approach to wear teeth

Abstract

Excessive tooth wear occurs with dental hard tissue destruction due to pathological reasons. The etiological factors may be mechanical, chemical and psychological, or their combinations. Dental attrision creates serious problems with masticatory and speech functions, and esthetics of the patients. Excessive occlusal wear can also cause loss of vertical dimension. This serious loss of tooth structure, requires a comprehensive restorative treatment. 45 years old female patient was admitted to our clinic with complaints of loss of aesthetics and masticatory function. First of all, the root canal treatment of the upper front teeth -all of which is vital- was performed. Then the crown lengths were extended by prefabricated posts and composite cores. The patient's occlusal vertical dimension increased by restorations of temporary acrylic crowns. The patient has been made to use these acrylic temporary crowns for 3 months to get used to the new vertical dimension. At the end of this period, the patient's upper and lower teeth were restored with metal-ceramic crowns. An occlusal splint was made for protective purposes.

Keywords

Aşınmış dişlerde farklı bir protetik yaklaşım

Öz

Aşırı diş aşınması, dişin sert dokusununpatolojik nedenlerle yıkımı ile oluşur. Etyolojisimekanik, kimyasal ve psikolojik etkenler veyabunların kombinasyonları olabilir. Diş aşınmaları,hastaların çiğneme ve konuşma fonksiyonlarında vegörünümlerinde ciddi problemler doğurur. Aşırıoklüzal aşınma dikey boyut kaybına da nedenolabilir. Bu ciddi diş yapısı kayıpları, kapsamlırestoratif tedavi gerektirir.45 yaşında kadın hasta, estetik ve fonksiyonkaybı şikayeti ile kliniğimize başvurdu. Hepsi vitalolan, üst ön dişlerin önce kanal tedavileri yapıldı.Ardından prefabrik post ve kompozit korlarla kronboyları uzatıldı. Hastaya oklüzal dikey boyutunuyükselten geçici akrilik kron restorasyonlarıuygulandı. Yeni dikey boyuta alışabilmesi içinakrilik geçici kronlar hastaya 3 ay kullandırıldı. Busürenin sonunda hastanın alt ve üst dişleri metaldestekli seramik kronlarla restore edildi. Koruyucuamaçlı oklüzal splint yapıldı.

Anahtar Kelimeler

References

1. Altıncı P, Can G, Özer A. Tooth wears. ADO J Clin Sci 2009;3(2):352-360.
2. Milosevic A. The problem with an epidemiological index for dental erosion. British Dental J 2011;211(5):201-203.
3. Flint S, Scully C. Orofacial changes and related disease. Dent Update 1988;15:337–342.
4. Lambrechts P, Braem M, VuylstekeWauters M, Vanherle G. Quantitative in vivo wear of human enamel. J Dent Res 1989;68:1752-1754.
5. Mair L H. Wear in dentistry-current terminology. J Dent 1992;20:140– 144.
6. Verrett RG. Analyzing the Etiology of an Extremely Worn Dentition. J Prosthodont 2001;10:224-233.
7. Grippo JO, Simring M, Schreiner S. Attrition, abrasion, corrosion and abfraction revisited: a new perspective on tooth surface lesions. J Am Dent Assoc 2004;135:1109- 1118.
8. Lee BS, Kang SH, Wang YL, Lin FH, Lin CP. In vitro study of dentinal tubule occlusion with Sol-Gel DPbioglass for treatment of dentinal hypersensitivity. Dent Materia J 2007;26(1):52-61.

9. Bardsley PF. The evolution of tooth wear indices. Clin Oral Invest 2008;12(1):15-19.
10. Kumar V, Ana JR. Prevalence and severity of tooth attrition in Nigerians in rural areas. Niger Med J 1978;8:557-562.
11. Seligman DA, Pullİnger AG, Solberg WK. The prevalence of dental attrision and ıts association with factors of age, gender, occlusion, and TMJ Symptomatology. J Dent Res, 1988;67:1323-1233.
12. Frederic CSC, Hak KY, Philip RH. Restorative management of the worn dentition: aetiology and diagnosis. Dent Update 2002;29:162-168.
13. Dahl BL, Krogstad O, Karlsen K. An alternative treatment in cases with advanced localized attrition. J. Oral Rehabil. 1975;2:209-214.
14. Abrahamsen TC. The worn dentitionpathognomic patterns of abrasion and erosion. Int Dent J 2005;656:266- 276.
15. Şener S, Ünlü N, Akgünlü F. Dental Wears; terminology and differential diagnosis. J Dent Fac SU 2008;17:230- 233.
16. Abdullah A, Sherfudhin H, Omar R, Johansson A. Prevalence of occlusal tooth wear and its relationship to lateral and protrusive contact schemes in a young adult Indian population. ACTA Odontol Scand 1994;52(4):191-197.
17. Assif D, Pilo R, Marshak B. Restoring teeth following crown lengthening procedures. J Prosthet Dent 1991;65(1):62-64.
18. Ward VJ. Surgical crown lengthening. British Dent J 1999;187(1):21-24.
19. Potiket N. Fixed rehabilitation of an ACP PDI Class IV dentate patient. J Prosthodont 2006;15(6):367-373.
20. Gözneli R, Kulak Özkan Y, Kazazoğlu E, Akalın ZF. Effects of Bartter’s syndrome on dentition and dental treatment:A clinical report. J Prosthet Dent 2005;93:522-525.