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Komplike Kuron Kırıklarının Vital Pulpa Tedavisinden Sonra Uygulanan CAD/CAM Destekli Restorasyonları: İki Olgu Sunumu
CAD/CAM Supported Restorations in Complicated Crown Fractures Treated with Vital Pulp Treatment: Two Case Reports
Turkiye Klinikleri J Dental Sci. 2020;26(3):528-37
doi: 10.5336/dentalsci.2019-72354
Makale Dili: TR
Tam Metin
ÖZET
Komplike kuron kırıkları, daimî dişlerde görülen tüm travmatik yaralanmaların %20'sini oluşturmaktadır. Özellikle diş eti altına uzanan oblik kuron kırıklarında dişi, ağızda vital olarak tutmak, fonksiyonu ve estetiği sağlamak için multidisipliner bir yaklaşım gerekmektedir. Bu olgu raporunda, komplike kuron kırığı bulunan 2 hastanın koronal pulpotomi uygulanarak gerçekleştirilen vital pulpa tedavilerinden sonra 'computer aided design (CAD)'/'computer aided manufacturing (CAM)' ile yapılan restorasyonlarının takibi sunulmaktadır. CAD/CAM ile yapılan restorasyonların iyi bir fonksiyonel, estetik ve gingival uyum sağladığı gözlenmiştir. Sonuç olarak, CAD/CAM sistemleri daimî dişlerde travmadan dolayı oluşan komplike kuron kırıklarında alternatif olarak uygulanabilir.
Anahtar Kelimeler: Bilgisayar yardımlı tasarım; CAD-CAM; diş kırıkları; diş yaralanmaları; diş pulpasının açığa çıkması; pulpotomi
Komplike kuron kırıkları, daimî dişlerde görülen tüm travmatik yaralanmaların %20'sini oluşturmaktadır. Özellikle diş eti altına uzanan oblik kuron kırıklarında dişi, ağızda vital olarak tutmak, fonksiyonu ve estetiği sağlamak için multidisipliner bir yaklaşım gerekmektedir. Bu olgu raporunda, komplike kuron kırığı bulunan 2 hastanın koronal pulpotomi uygulanarak gerçekleştirilen vital pulpa tedavilerinden sonra 'computer aided design (CAD)'/'computer aided manufacturing (CAM)' ile yapılan restorasyonlarının takibi sunulmaktadır. CAD/CAM ile yapılan restorasyonların iyi bir fonksiyonel, estetik ve gingival uyum sağladığı gözlenmiştir. Sonuç olarak, CAD/CAM sistemleri daimî dişlerde travmadan dolayı oluşan komplike kuron kırıklarında alternatif olarak uygulanabilir.
Anahtar Kelimeler: Bilgisayar yardımlı tasarım; CAD-CAM; diş kırıkları; diş yaralanmaları; diş pulpasının açığa çıkması; pulpotomi
ABSTRACT
Complicated crown fractures have been reported to comprise approximately 20% of all traumatic injuries in permanent teeth. The oblique crown fractures especially extending subgingivally need a multidisciplinary treatment approaches because of preserving the vitality of the tooth is important aesthetically and functionally as well. The following two case reports describe treatment of complicated crown fracture by computer aided design (CAD)/computer aided manufacturing (CAM) supported restorations after vital pulp treatment performed by applying coronal pulpotomy. It was observed that the restoration performed with CAD/CAM had a good aesthetic, functional and gingival consistency. As a result, restorations supported CAD/CAM system can be applied as an alternative treatment method in permanent teeth that have been complicated crown fractures due to trauma.
Keywords: Computer-aided design; CAD-CAM; tooth fractures; tooth injuries; dental pulp exposure; pulpotomy
Complicated crown fractures have been reported to comprise approximately 20% of all traumatic injuries in permanent teeth. The oblique crown fractures especially extending subgingivally need a multidisciplinary treatment approaches because of preserving the vitality of the tooth is important aesthetically and functionally as well. The following two case reports describe treatment of complicated crown fracture by computer aided design (CAD)/computer aided manufacturing (CAM) supported restorations after vital pulp treatment performed by applying coronal pulpotomy. It was observed that the restoration performed with CAD/CAM had a good aesthetic, functional and gingival consistency. As a result, restorations supported CAD/CAM system can be applied as an alternative treatment method in permanent teeth that have been complicated crown fractures due to trauma.
Keywords: Computer-aided design; CAD-CAM; tooth fractures; tooth injuries; dental pulp exposure; pulpotomy
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