Koruyucu Mine, Yaman Duygu, Seymen Figen, Demirel Korkud, Gençay Koray
Department of Pedodontics, İstanbul University Faculty of Dentistry, İstanbul, Turkey.
Department of Periodontics, İstanbul University Faculty of Dentistry, İstanbul, Turkey.
Eur Oral Res. 2018 May;52(2):111-116. doi: 10.26650/eor.2018.495. Epub 2018 May 1.
The aim of this article was to review the literature and present a case of regional odontodysplasia (ROD) with special emphasis on clinical and radiographic features. A 6-year-old girl was referred to our department with the chief complaint of missing her permanent maxillary left central incisor, lateral incisor, and both of her canines. The gingiva of the involved region was enlarged, fibrous, and tense. Radiographic examination showed abnormal tooth formation and shortened roots. After 3 years of follow up with temporary prosthetic rehabilitation, periodontal surgery was performed. Following forced eruption and levelling, abnormal tooth eruption and root development were observed. ProRoot MTA (Dentsply-Maillefer, Ballaigues, Switzerland) was used for root canal treatment. Intracanal fiber posts selected and access cavities were restored with composite resin. Prosthetic rehabilitation was completed with zirconia ceramic crowns. The time of diagnosis, characteristics of the present/existing symptoms, and functional and esthetic needs of the patient should be considered to determine the optimal treatment modality for ROD.
本文旨在回顾文献并呈现一例区域牙发育异常(ROD)病例,特别强调其临床和影像学特征。一名6岁女孩因上颌左侧恒中切牙、侧切牙及两颗尖牙缺失为主诉被转诊至我科。患区牙龈肿大、纤维性且紧张。影像学检查显示牙齿形成异常及牙根缩短。经过3年临时修复体修复的随访后,进行了牙周手术。在强制萌出和平整后,观察到牙齿萌出和牙根发育异常。使用ProRoot MTA(登士柏-迈尔费,瑞士巴拉格)进行根管治疗。选择根管内纤维桩并用复合树脂修复髓腔。用氧化锆陶瓷冠完成修复治疗。确定ROD的最佳治疗方式时应考虑诊断时间、当前/现有症状的特点以及患者的功能和美学需求。