AI Summary & Key Takeaways
AI InsightAt the end of treatment, the patient attained a functional occlusion and esthetic appearance.
📌 3 Key Takeaways
Abstract
In this case report multidisciplinary treatment of a 16 years old male patient was presented. In the radiographic evaluation, it was determined that maxillary right lateral incisor was congenital missing, canine was impacted at the same side, and left central incisor was dilacerated and impacted. In the intraoral examination, it was observed that space of the left central incisor was closed mildly by the migration of the neighbor teeth, there was a midline deviation, and left lateral incisor had a narrow mesio-distal width. Dilacerated central incisor was extracted and a button was attached on the impacted canine by a surgical approach. Impacted canine was erupted, midline was corrected, and left lateral incisor was moved to the place of the extracted central incisor with orthodontic treatment. After orthodontic treatment, central incisor form was given to the left lateral incisor by applying a porcelain crown and lateral incisor form was given to the canines by drilling the cusp tips with diamond bur. At the end of treatment, the patient attained a functional occlusion and esthetic appearance.
Özet
Bu olgu sunumunda, 16 yaşında bir erkek hastanın multidisipliner tedavisi sunulmuştur. Hastanın radyolojik değerlendirilmesinde, sağ maksiller lateral kesici dişin konjenital eksik olduğu, aynı taraftaki kanin dişin gömülü olduğu, sol santral dişin dilasere ve gömülü olduğu tespit edilmiştir. Ağız içi muayenesinde ise sol santral dişin yerinin komşu dişlerin migrasyonu ile bir miktar kapandığı, orta hatta sapma olduğu ve sol yan kesici dişin meziodistal boyutunun dar olduğu görülmüştür. Cerrahi yaklaşımla dilasere santral kesici diş çekilmiş ve gömülü kanin dişe buton takılmıştır. Ortodontik tedavi ile gömülü kanin diş sürdürülmüş, orta hat düzeltilmiş ve sol lateral kesici diş, çekilmiş olan santral kesici dişin yerine kaydırılmıştır. Ortodontik tedaviden sonra, sol lateral kesici dişe porselen kuron uygulanarak santral kesici diş formu verilmiş, kanin dişlerin kasp tepeleri elmas frez ile möllenerek yan kesici diş formu verilmiştir. Tedavi sonunda hasta stabil bir oklüzyona ve estetik bir görüntüye kavuşmuştur.