Öz
Bu olgu sunumu, bilateral maksiller lateral kesici dişler, maksiller ikinci premolarlar ve mandibular premolarların konjenital olarak eksik olduğu 12 yaşında kadın bir oligodonti hastasının tedavisinde uygulanan multidisipliner yaklaşımı tanımlamaktadır. Hastada yaygın diastemalar, bilateral Angle Sınıf III molar ilişkisi ve iskeletsel Sınıf II patern saptanmıştır. Tedavi kapsamında, maksiller kaninlerin lateral diş pozisyonuna yerleştirilmesini içeren 36 aylık ortodontik tedavi, gingival simetriyi sağlamak amacıyla yapılan frenektomi ve gingivektomi işlemleri, ve direkt kompozit lamina restorasyonları ile estetik rehabilitasyon gerçekleştirilmiştir. Maksiller ikinci süt azı dişlerinde radyografik olarak kök rezorpsiyonu gözlenmesine rağmen, mobilite bulunmadığı için bu dişler yer tutucu olarak ağızda tutulmuştur. Tedavi sonunda boşluklar başarıyla kapatılmış, estetik açıdan tatmin edici sonuçlar elde edilmiş ve retansiyon amacıyla şeffaf hareketli plaklar verilmiştir. Bu olgu, ortodontik boşluk yönetimi, yumuşak doku şekillendirme ve minimal invaziv restorasyonları içeren multidisipliner yaklaşımın, oligodonti olgularında fonksiyonel ve estetik açıdan etkin bir tedavi planlamasını mümkün kıldığını göstermektedir.
Anahtar Kelimeler
Kaynakça
- 1. Kazanci F, Celikoglu M, Miloglu O, Ceylan I, Kamak H. Frequency and distribution of developmental anomalies in the permanent teeth of a Turkish orthodontic patient population. J Dent Sci. 2011;6(2):82-89.
- 2. Punithavathy, John JB, Priya G, Elango I, Stalin. Famlial nonsyndromic oligodontia. Contemp Clin Dent. 2012;3(Suppl 2):S188-90. doi:10.4103/0976-237X.101088
- 3. Celikoglu M, Akpinar S, Yavuz I. The pattern of malocclusion in a sample of orthodontic patients from Turkey. Med Oral Patol Oral Cir Bucal. 2010;15(5):e791-6.
- 4. White SC and PMJ. Oral Radiology: Principles and Interpretation. 5th Edition. Mosby; 2004.
- 5. Dhanrajani PJ. Hypodontia: Etiology, Clinical Features, and Management. Quintessence International; 2002.
- 6. Gonçalves TMSV, Gonçalves LM, Sabino-Bezerra JR, Santos-Silva AR, Silva WJ da, Garcia RCMR. Multidisciplinary Therapy of Extensive Oligodontia: A Case Report. Braz Dent J. 2013;24(2):174-178. doi:10.1590/0103-6440201302158
- 7. Rosa M, Zachrisson BU. Integrating space closure and esthetic dentistry in patients with missing maxillary lateral incisors. J Clin Orthod. 2007;41(9):563-573; quiz 424.
- 8. Kokich VG. Esthetics: the orthodontic-periodontic restorative connection. Semin Orthod. 1996;2(1):21-30. doi:10.1016/S1073-8746(96)80036-3
- 9. Tekçe N, Demirci M, Tuncer S, Güder G, Sancak EI. Clinical Performance of Direct Composite Restorations in Patients with Amelogenesis Imperfecta - Anterior Restorations. J Adhes Dent. 2022;24:77-86. doi:10.3290/j.jad.b2838105
- 10. Lassila LVJ, Nagas E, Vallittu PK, Garoushi S. Translucency of flowable bulk-filling composites of various thicknesses. The Chinese journal of dental research. 2012;15(1):31-35.
- 11. Aktan AM, Kara I, Sener I, et al. An evaluation of factors associated with persistent primary teeth. The European Journal of Orthodontics. 2012;34(2):208-212. doi:10.1093/ejo/cjq189
- 12. Robertsson S. The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment. The European Journal of Orthodontics. 2000;22(6):697-710.
- 13. Årtun J, Zachrisson B. Improving the handling properties of a composite resin for direct bonding. Am J Orthod. 1982;81(4):269-276. doi:10.1016/0002-9416(82)90212-3
Multidisciplinary Treatment of Oligodontia: Orthodontic, Periodontal, and Restorative Approach: A Case Report
Öz
This case report describes a multidisciplinary approach in treating a 12-year-old female with oligodontia, presenting with congenital absence of maxillary lateral incisors, maxillary second premolars, and mandibular premolars. The patient exhibited generalized diastemas, bilateral Angle Class III molar relationships, and a skeletal Class II pattern. Treatment consisted of 36-month orthodontic therapy to position maxillary canines in lateral incisor positions, soft tissue procedures including frenectomy and gingivectomy to improve gingival symmetry, and esthetic rehabilitation with direct composite laminate veneers. Maxillary second primary molars were retained as space maintainers despite radiographic root resorption. Post-treatment results showed successful space closure and improved esthetics with clear removable retainers provided for retention. This case report presents how a multidisciplinary approach integrating orthodontic space management, soft tissue recontouring, and minimally invasive restorations can facilitate functional and esthetic treatment planning in oligodontia cases.
Anahtar Kelimeler
Oligodontia multidisciplinary treatment direct composite veneers
Kaynakça
- 1. Kazanci F, Celikoglu M, Miloglu O, Ceylan I, Kamak H. Frequency and distribution of developmental anomalies in the permanent teeth of a Turkish orthodontic patient population. J Dent Sci. 2011;6(2):82-89.
- 2. Punithavathy, John JB, Priya G, Elango I, Stalin. Famlial nonsyndromic oligodontia. Contemp Clin Dent. 2012;3(Suppl 2):S188-90. doi:10.4103/0976-237X.101088
- 3. Celikoglu M, Akpinar S, Yavuz I. The pattern of malocclusion in a sample of orthodontic patients from Turkey. Med Oral Patol Oral Cir Bucal. 2010;15(5):e791-6.
- 4. White SC and PMJ. Oral Radiology: Principles and Interpretation. 5th Edition. Mosby; 2004.
- 5. Dhanrajani PJ. Hypodontia: Etiology, Clinical Features, and Management. Quintessence International; 2002.
- 6. Gonçalves TMSV, Gonçalves LM, Sabino-Bezerra JR, Santos-Silva AR, Silva WJ da, Garcia RCMR. Multidisciplinary Therapy of Extensive Oligodontia: A Case Report. Braz Dent J. 2013;24(2):174-178. doi:10.1590/0103-6440201302158
- 7. Rosa M, Zachrisson BU. Integrating space closure and esthetic dentistry in patients with missing maxillary lateral incisors. J Clin Orthod. 2007;41(9):563-573; quiz 424.
- 8. Kokich VG. Esthetics: the orthodontic-periodontic restorative connection. Semin Orthod. 1996;2(1):21-30. doi:10.1016/S1073-8746(96)80036-3
- 9. Tekçe N, Demirci M, Tuncer S, Güder G, Sancak EI. Clinical Performance of Direct Composite Restorations in Patients with Amelogenesis Imperfecta - Anterior Restorations. J Adhes Dent. 2022;24:77-86. doi:10.3290/j.jad.b2838105
- 10. Lassila LVJ, Nagas E, Vallittu PK, Garoushi S. Translucency of flowable bulk-filling composites of various thicknesses. The Chinese journal of dental research. 2012;15(1):31-35.
- 11. Aktan AM, Kara I, Sener I, et al. An evaluation of factors associated with persistent primary teeth. The European Journal of Orthodontics. 2012;34(2):208-212. doi:10.1093/ejo/cjq189
- 12. Robertsson S. The congenitally missing upper lateral incisor. A retrospective study of orthodontic space closure versus restorative treatment. The European Journal of Orthodontics. 2000;22(6):697-710.
- 13. Årtun J, Zachrisson B. Improving the handling properties of a composite resin for direct bonding. Am J Orthod. 1982;81(4):269-276. doi:10.1016/0002-9416(82)90212-3
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Genel Pratisyenlik |
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 21 Haziran 2025 |
| Gönderilme Tarihi | 17 Nisan 2025 |
| Kabul Tarihi | 14 Mayıs 2025 |
| Yayımlandığı Sayı | Yıl 2025Cilt: 47 Sayı: 2 |
