Ortodontik tedavi sonrası oluş abilecek çürüklere multidisipliner yaklaş ım
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Tarih
2014
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info:eu-repo/semantics/openAccess
Özet
Öz: Amaç: Çürük ve plak retansiyonu, multibraket sabit ortodontik tedavinin en çok karş ılaş ılan yan etkilerindendir. Bu vaka raporunda, ortodontik tedavi sonrası oluş abilecek çürükler ve bu çürüklerin tedavilerinden bahsedilmiş tir. Olgu Sunumu: Yirmi yaş ında erkek hasta, braketleri etrafındaki çürükler nedeniyle kliniğ imize baş vurmuş tur. Hasta 13 yaş ında ortodontik tedaviye baş lamış , 1 sene ortodontik tedavi görmüş ve sonrasında kendi isteğ iyle tedaviyi bırakmış tır. Altı sene boyunca braketleri ağ ız içinde kalmış tır. Yapılan klinik muayenede maksillar keser diş leri ve sağ mandibular kanin diş inde kole çürükleri, sağ ve sol mandibular birinci premolar diş lerinin lingual pozisyonda olduğ u görülmüş tür. Ekstraoral muayenede, sol submandibuler bölgede lenfadenopati ve ağ ız açıklığ ında azalma saptandı. Lenfadenopatiye sebep olan ve aş ırı harabiyeti bulunan sol alt ikinci molar diş çekildi. Lingual pozisyonda olan sağ ve sol mandibular birinci premolar diş ler çekildi. Maksillar santral ve lateral diş lerin endodonti kliniğ inde kök kanal tedavisi yapıldı. Tüm dolgular ve kök kanal tedavileri bittikten sonra, sol maksillar kanin diş boş luğ una 22 ve 23 no.lu diş lerin palatinalinden destek alınarak, fiber köprü yapıldı. Ağ ız hijyeni motivasyonu yapılarak hastanın tedavisi bitirildi. Sonuç: Hastanın 1 yıllık takibi sonucunda, diş lerdeki çürük kontrolünün sağ landığ ı, ağ ız hijyeninin devam ettiğ i görülmüş tür. Hasta artık ortodontik tedavi görmek istemediğ i için tedavi bu ş ekilde bitirilmiş tir.
Abstract: Objectives: Caries and plaque retention are the most common side effects of multi-bracket fixed orthodontic treatment. In this case report, therapies of caries that may occur after orthodontic treatment are discussed. Case Report: Twenty-year-old male patient admitted to our clinic because of caries around his brackets. The patient began orthodontic treatment at age 13, had been treated for 1 year and after orthodontic treatment has left voluntarily. Brackets has remained in the mouth for six years. During the clinical examination, cervical caries was seemed on maxillary incisors and canine tooth of the right mandibular; right and left mandibular first premolar teeth were lingual positioned. Extraoral examination revealed left submandibular lymphadenopathy and reduced mouth opening. Lower left second molar tooth was extracted because of its excessive damage and caused lymphadenopathy. Root canal treatment was performed to maxillary central and lateral incisors in the Endodontics clinic. After all fillings and root canal treatments was finished; the fiber bridge was applied to tooth cavity of left maxillary canine teeth by the support of palatal surface of teeth 22 and 23. Dental treatment was finished with the motivation of oral hygiene. Results: As a result of a 1-year follow-up of the patient, control of the decayed teeth were provided and oral hygiene continued. The patient does not want to see anymore of orthodontic treatment, so treatment was completed in this way.
Abstract: Objectives: Caries and plaque retention are the most common side effects of multi-bracket fixed orthodontic treatment. In this case report, therapies of caries that may occur after orthodontic treatment are discussed. Case Report: Twenty-year-old male patient admitted to our clinic because of caries around his brackets. The patient began orthodontic treatment at age 13, had been treated for 1 year and after orthodontic treatment has left voluntarily. Brackets has remained in the mouth for six years. During the clinical examination, cervical caries was seemed on maxillary incisors and canine tooth of the right mandibular; right and left mandibular first premolar teeth were lingual positioned. Extraoral examination revealed left submandibular lymphadenopathy and reduced mouth opening. Lower left second molar tooth was extracted because of its excessive damage and caused lymphadenopathy. Root canal treatment was performed to maxillary central and lateral incisors in the Endodontics clinic. After all fillings and root canal treatments was finished; the fiber bridge was applied to tooth cavity of left maxillary canine teeth by the support of palatal surface of teeth 22 and 23. Dental treatment was finished with the motivation of oral hygiene. Results: As a result of a 1-year follow-up of the patient, control of the decayed teeth were provided and oral hygiene continued. The patient does not want to see anymore of orthodontic treatment, so treatment was completed in this way.
Açıklama
Anahtar Kelimeler
Kaynak
Cumhuriyet Dental Journal
WoS Q Değeri
Scopus Q Değeri
Cilt
17
Sayı
2
Künye
ŞİMŞEK N,YALÇIN M,ERSÖZ M,ALAN H,TEKİN E. B (2014). Ortodontik tedavi sonrası oluş abilecek çürüklere multidisipliner yaklaş ım. Cumhuriyet Dental Journal , 17(2), 179 - 185.
