Turkiye Klinikleri Journal of Dental Sciences

.: REVIEW
Avulse Dişleri Taşıma Ortamları: Bir Güncelleme
Transport Media for Avulsed Teeth: an Update
Elif BALLIKAYAa, Şeyma ÖZTÜRKa, Zafer C.ÇEHRELİa
aHacettepe Üniversitesi Diş Hekimliği Fakültesi, Çocuk Diş Hekimliği ABD, Ankara, TÜRKİYE
Turkiye Klinikleri J Dental Sci. 2020;26(3):487-95
doi: 10.5336/dentalsci.2019-71742
Article Language: TR
Full Text
ÖZET
 Avulsiyon, bir dişin alveol soketten tamamen ayrılmasıyla sonuçlanan ve acil tedavi gerektiren, en ciddi diş yaralanmasıdır. Avulse dişlerde, ideal tedavi immediat replantasyon olmakla birlikte bu her olguda mümkün olmayabilir. Diş replantasyonu sonrası daha olumlu bir prognoz elde etmek için, avulse dişin ağız dışında geçirdiği sürenin kısa olması ve replante edilene kadar uygun bir taşıma ortamının kullanılması gerekmektedir. Avulse dişlerde taşıma ortamı, periodontal ligament (PDL) hücrelerinin canlılığını ve mitojenik yeteneklerini koruyabilecek biyolojik özelliklerin yanı sıra uygun pH ve ozmolaliteye sahip olmalıdır. Fizyolojik yapıda olmayan taşıma ortamları, PDL hücrelerinde canlılığı olumsuz yönde etkileyerek diş kökünde replasman rezorpsiyonuna ve ankiloza yol açabilir. Literatürde taşıma ortamı olarak tükürük, süt ve Hank'in dengeli tuz çözeltisi (HDTÇ) gibi birçok sıvı ve vasatın etkinliği araştırılmıştır. Musluk suyu, ani hücre lizisine yol açarak kuru ortama benzer sonuçlar veren en kötü taşıma ortamları arasındadır. Her ne kadar HDTÇ, ViaSpan ve Eagle'nın minimum esansiyel vasatı (EM) avulsiyondan sonra bir süreliğine PDL hücrelerini canlı tutma potansiyeline sahip olsa da bu taşıma ortamlarının kullanılabilirliği, maliyetleri ve halkın kaza anında erişebilme yetersizliği bu ortamları daha az ideal kılmaktadır. Süt, çoğu durumda en uygun, en ucuz ve en erişilebilir taşıma ortamıdır ve ayrıca PDL hücrelerini canlı tutabilme özelliğine sahiptir. Bu literatür derlemesinde, avulse dişlerin taşınmasında kullanılan doğal ve yapay taşıma ortamları ve bu alandaki güncel gelişmeler değerlendirilecektir.

Anahtar Kelimeler: Dental travma; avulsiyon; taşıma ortamı
ABSTRACT
 Dental avulsion is the most severe type of dental injury that requires emergency treatment and results in the complete displacement of a tooth from the alveolar socket. Although the ideal treatment for an avulsed tooth is immediate replantation, this may not be possible in every case. To achieve a more favorable prognosis following tooth replantation, short extra-alveolar time and use of an appropriate transport media until replantation of avulsed teeth are essential The transport media for avulsed teeth should possess favorable pH, osmolality and biological properties that help preserve the vitality and mitogenic properties of the periodontal ligament (PDL) cells. The non-physiological storage media could result in replacement resorption of root and ankylosis by affecting periodontal ligament cells negatively. Numerous studies have studied the efficacy of a variety of transport media comprising saliva, milk and Hank's Balanced Salt. Tap water which has similar results to the dry environment is one of the worst transport media leading to sudden cell lysis. Although HBSS, ViaSpan and Eagle's medium have great potential to maintain the PDL cells alive for a while after an avulsion, the practicalities of using these solutions, the costs and the lack of ready availability to the public make them less than ideal. Milk is the most convenient, cheapest and readily available solution in most situations and also being capable of keeping PDL cells alive. This article will review natural and artificial storage mediums for the transport of avulsed teeth and the recent updates in this field.

Keywords: Dental trauma; avulsion; storage media
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Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com