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Tanıtım: Sürmemiş dişlerin dentininde mine-dentin sınırının hemen altında, iyi sınırlanmış, intrakoronal radyolusensiler ‘pre-erüptif intrakoronal rezorpsiyon’ (PEIR) olarak tanımlanır. Pre-erüptif intrakoronal rezorpsiyon hastalarda %3-6 oranında, dişlerde %0.5-2 oranında görülür. Bazı olgu raporlarında koronal yapıyı yıkımdan korumak için dişin cerrahi olarak açığa çıkarılıp restore edilmesi önerilir. Bu olgu bildiriminde amaç PEIR bulunan açık apeksli mandibular birinci daimi molar dişin tedavi yönetimini tanımlamaktır. Olgu Bildirimi: Altı yaşındaki erkek hasta çiğneme sırasında ağrı, diş eti kızarıklığı ve diş sürmemesi şikayetiyle kliniğimize başvurdu. Hastanın klinik muayenesinde diş erüpsiyonunun yaşla uyumlu olduğu, ancak sağ mandibular daimi birinci molar dişin olmadığı görüldü. Alınan radyografiler incelendiğinde sürmemiş 46 numaralı dişte intrakoronal lezyon tespit edildi. Hastanın tedavisi inhalasyon anestezisi altında yapıldı. Diode lazer (SIROLaser Xtend, Bensheim, Almanya) ile sürmemiş diş üzerindeki mukoza kaldırılarak diş açığa çıkarıldı. Yumuşak doku lezyonu ekskavatörle dikkatlice çıkartıldı. Alınan doku histopatolojik olarak incelendi. Geleneksel cam iyonomer siman (GC Fuji XI GP, Tokyo, Japonya) kaide olarak kullanılarak kompozit rezin (3M ESPE, Seefeld, Almanya) ile restorasyon tamamlandı. Klinik ve radyografik olarak 16 aylık takip sonrasında, dişte herhangi bir klinik belirti bulunmadığı ve dişin gelişiminin devam ettiği izlendi. Sonuç: Pre-erüptif intrakoronal rezorpsiyonun erken teşhisi ve tedavisi, diş gelişimi ve pulpal sağlığın korunmasında temel amaçtır.
Presentation: In the dents of unleashed teeth, right below the mine-dentine limit, well-limited intrakoronal radiolusens are defined as 'pre-eruptive intrakoronal resorption' (PEIR). Pre-eruptive intrakoronal resorption occurs in 3-6% patients, 0.5-2% in teeth. In some events reports, it is recommended that the tooth be chirurgically detected and restored to protect the coronary structure from destruction. The purpose in this fact report is to identify the treatment management of the first permanent molar tooth in the open apex mandibula found in the PEIR. A six-year-old man appealed to our clinic with a complaint of pain, redness of the tooth and not running the tooth during the breaking. In the patient's clinical examination, the eruption of the tooth was found to be consistent with age, but the right mandibula had no permanent first molar tooth. When the radiographs taken were examined, an intrakoronal injury was detected in the no-during 46th tooth. The patient was treated under inhalation anesthesia. The diode laser (SIROLaser Xtend, Bensheim, Germany) removed the mucosa on the untouched tooth. The soft tissue injury was carefully removed with the excavator. The tissue received was studied histopathologically. The traditional glass ionomer is used as a kaide (GC Fuji XI GP, Tokyo, Japan) and is completed with the restoration with composite resin (3M ESPE, Seefeld, Germany). After 16 months of clinical and radiographic monitoring, there were no clinical signs in the tooth and continued the development of the tooth. Result: Early diagnosis and treatment of pre-eruptive intrakoronal resorption is the main objective in the preservation of dental development and pulpular health.
Introduction: Pre-eruptive intra-coronal resorption (PEIR) is a defect located in the dentin of an unerupted tooth, just beneath the dentin-enamel junction. The prevalence of PEIR is 3-6% in patients and 0.5-2% in teeth. In some case reports, it is suggested that the unerupted tooth should be surgically exposed, and the lesion should be restored to prevent the further destruction of the coronal structure. The aim of this case report was to describe the management of a mandibular permanent molar tooth with PEIR. Case Report: A 6-year-old boy patient was referred to the Pediatric Dentistry Clinic with a complaint of pain, gingival redness, and an unerupted tooth. In the clinical examination, it was observed that the eruption sequence was compatible with his age; however, the right mandibular first permanent molar was absent. Under inhalation sedation, the gingival tissue above the unerupted molar was surgically removed with a diode laser (SIROLaser Xtend, Bensheim, Germany). The soft tissue into the lesion was carefully removed with an excavator. A sample of the removed tissue was evaluated histopathologically. A glass ionomer cement (GC Fuji XI GP, Tokyo, Japan) was placed as a base, and the restoration was completed with composite resin (3M ESPE, Seefeld, Germany). After a follow-up period of 16 months, no clinical symptoms were observed, and the development of the root was detected to continue. Conclusion: Early diagnosis and treatment of PEIR is the main objective for the development of the tooth and maintenance of pulpal health.
Alan : Sağlık Bilimleri
Dergi Türü : Ulusal
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