MANAGEMENT OF REGIONAL ODONTODYSPLASIA: 10-YEAR-FOLLOW-UP CASE REPORT AND LITERATURE REVIEW

M. Koruyucu, D. Yaman, F. Seymen, K. Demirel, K. Gençay
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Abstract

The aim of this paper was to review the literature and present a case of regional odontodysplasia with details of clinical and radiographic features,thereby facilitating management of this rare anomaly. A 6-year-old girl was referred to our department with chief complaint of missing or unerupted permanent maxillary left central, lateral and canine teeth. At the affected area, the gingiva was enlarged, fibrous, and tense. Radiographic examination shows abnormally formed teeth with short roots. After 3 year follow up with temporary prosthetic rehabilitation, periodontal surgery was applied.Following forced eruption and levelling, abnormal tooth eruption and root development were observed in these three teeth. After root canal treatment with ProRoot MTA, an intracanal fiber post and the access cavity was restored with composite resin and zirconia ceramic crown. The choice of the best treatment option for ROD depends on the time of diagnosis, present/existing symptoms,functional and esthetic needs,and available treatment modalities.
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局部牙体发育不良的治疗:10年随访病例报告及文献复习
本文的目的是回顾文献,并介绍一例区域性牙发育不良的临床和放射学特征,从而促进对这种罕见异常的处理。一名6岁女孩被转诊至我科,主要主诉为上颌左中、侧和犬齿缺失或未中断。在受影响的区域,牙龈增大,纤维状,紧张。射线照相检查显示牙齿畸形,牙根短。经过3年的随访和临时修复,进行了牙周手术。在强制萌出和整平后,在这三颗牙齿中观察到异常的牙萌和牙根发育。ProRoot MTA根管治疗后,用复合树脂和氧化锆陶瓷冠修复肛门内纤维桩和进入腔。ROD最佳治疗方案的选择取决于诊断时间、当前/现有症状、功能和美学需求以及可用的治疗方式。
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