Turkiye Klinikleri Journal of Dental Sciences

.: CASE REPORTS
Travma Sonucu Daimi Santral Dişte Gelişen Ekstrüzyon Yaralanması ve Kasıtlı Replantasyonla Tedavisi
Extrusion Injury in the Permanent Central Tooth as a Result of Trauma and Treatment with Intentional Replantation
Betül KARAAĞAÇa , Fatih UÇARa
aAfyonkarahisar Sağlık Bilimleri Üniversitesi Diş Hekimliği Fakültesi, Endodonti AD, Afyonkarahisar, Türkiye
Turkiye Klinikleri J Dental Sci. 2025;31(3):465-70
doi: 10.5336/dentalsci.2024-107372
Article Language: TR
Full Text
ÖZET
 Dental travmalar özellikle çocuk ve genç hastalarda sık karşılaşılan acil durumlar olup, erken ve doğru müdahale önem arz etmektedir. Bu olgu sunumunun amacı, travma sonrası ekstrüze olan bir üst kesici dişe uygulanan kasıtlı replantasyon tedavisinin klinik sonuçlarını tartışmaktır. Travma sonucu 21 no'lu dişin avülse olduğu, 11 no'lu dişin ise ekstrüze olduğu tespit edilen 16 yaşındaki erkek hasta Afyonkarahisar Sağlık Bilimleri Üniversitesi Diş Hekimliği Fakültesi Endodonti Ana Bilim Dalı'na başvurdu. Konik ışınlı bilgisayarlı tomografi ile 11 no'lu dişin 4 mm ekstrüze ve labiale yönlendiği, kök ve alveolar kemikte herhangi bir hasar bulunmadığı belirlendi. Tedavi planlamasında, dişin uygun pozisyona getirilememesi nedeniyle kasıtlı replantasyon tercih edildi. Replantasyon sonrası diş splintlendi ve kök kanal tedavisi tamamlandı. Altı aylık takip sonucunda dişin asemptomatik ve fonksiyonel olduğu, periapikal dokuların ise sağlıklı olduğu görüldü. Bu vaka, kasıtlı replantasyonun uygun seçilmiş travma vakalarında başarılı bir tedavi seçeneği olabileceğini vurgulamaktadır.

Anahtar Kelimeler: Dental travma; ekstrüzyon; kasıtlı replantasyon
ABSTRACT
 Dental trauma is frequently encountered in children and adolescents and requires prompt and accurate management. This case report aims to present the clinical outcomes of intentional replantation performed on a traumatically extruded maxillary incisor. A 16-yearold male patient presented to the Department of Endodontics, Faculty of Dentistry, Afyonkarahisar Health Sciences University, with an avulsed tooth #21 and an extruded tooth #11. Cone-beam computed tomography revealed a 4 mm labial extrusion of tooth #11, with no associated root or alveolar bone damage. As the tooth could not be repositioned into its proper alignment, intentional replantation was selected as the treatment approach. The tooth was replanted, splinted, and root canal treatment was completed. At the 6-month follow-up, the tooth remained asymptomatic and functional, with healthy periapical tissues. This case highlights that intentional replantation may serve as a successful treatment option in appropriately selected cases of traumatic dental injury.

Keywords: Dental trauma; extrusion; intentional replantation
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