Turkiye Klinikleri Journal of Dental Sciences

.: CASE REPORTS
Avulse Bir Dişin Gecikmiş Replantasyonu
Delayed Replantation of an Avulsed Tooth
Hakan KARAOĞLANa, Günseli GÜVEN POLATa
aSağlık Bilimleri Üniversitesi Hamidiye Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, İstanbul, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2022;28(1):227-31
doi: 10.5336/dentalsci.2020-80550
Article Language: TR
Full Text
ÖZET
 Çocuklarda, diş ve destek dokuları içeren travmatik yaralanmalar sık görülmektedir. Travmatik yaralanmalar sonucu, dişin alveol soketten tamamen çıkmasına avulsiyon denmektedir. Replante edilecek dişin prognozunu etkileyen en önemli faktörler; ağız dışında geçen süre ve dişin saklanma koşullarıdır. Avulse dişin en uygun tedavisi, 30 dk içinde yapılan erken replantasyondur. Karşılaştığı travmatik yaralanma sonucunda, 14 yaşında erkek hasta travmadan 60 saat sonra kliniğimize başvurmuştur. Ekstraoral ve intraoral muayenesi yapılan hastanın maksiller sol birinci keser dişinin avulse olduğu görülmüştür. Hastadan alınan anamnez sonucunda, avulse olan dişini su içerisinde bekletildiği öğrenilmiştir. Avulse olan diş, salin solüsyonu ile yıkandıktan sonra %1,23'lük asidüle fosfat florür solüsyonunda bekletilmiştir. Lokal anestezi altında alveol sokette bulunan kan pıhtısı uzaklaştırıldıktan sonra kanal tedavisi ağız dışında tamamlanan diş, parmak basıncıyla replante edilmiştir. Dört hafta yarı rijit splint ile splintlenmiştir. Splint çıkartılırken yapılan kontrollerde inflamasyon bulgusuna rastlanılmamıştır. Bu olgu sunumu, avulse olan dişin gecikmiş replantasyon tedavisini ve 18 aylık klinik takip raporunu içermektedir.

Anahtar Kelimeler: Avulsiyon; gecikmiş replantasyon; dental travma
ABSTRACT
 Traumatic injuries involving teeth and supporting tissues are common in children. The complete removal of the tooth from the alveolar socket as a result of traumatic injuries is dental avulsion. The most important factors affecting the prognosis of the tooth to be replanted; the time outside the mouth and the hiding conditions of the tooth. The most appropriate treatment of avulsion teeth is early replantation within 30 minutes. A 14 year-old male patient with a history of trauma referred to our clinic 60 hours after the injury. Extraoral and intraoral examination revealed avulsion of left first maxillary incisor. As a result of the anamnesis taken from the patient, it was learned that his avulsed tooth was kept in water. After the avulsed tooth was washed with saline solution, it was kept in 1.23% acidified phosphate fluoride solution. After the blood clot in the alveolar socket was removed under local anesthesia, the canal treatment was completed outside the mouth, and the tooth was replanted with finger pressure. It was splinted with a semi rigid splint for 4 weeks. There was no evidence of inflammation in the controls performed while removing the splint. In this case report includes delayed replantation treatment of avulsed tooth and an 18- month clinical follow-up report.

Keywords: Avulsion; delayed replantation; dental trauma
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