Ortodontsko-hirurška terapija impaktiranoORTODONTSKO-HIRURŠKA TERAPIJA IMPAKTIRANOG, CENTRALNOG, MAKSILARNOG SEKUTIĆA – PRIKAZ SLUČAJAg centralnog maksilarnog sekutića – prikaz slučaja
Sažetak
Cilj ovog rada bio je da se precizno utvrdi mogućnost terapije liberacije impaktiranog centralnog sekutića kod devojčice starosti devet godina, a zatim da se u što kraćem vremenskom intervalu zub dovede na svoje prirodno mesto u zubnom nizu. Pre intervencije pristupilo se detaljnom pregledu (CBCT) i analizi svih parametara, kako bi se utvrdila mogućnost uspešne terapije impaktiranog zuba. Ortodontski plan terapije sastojao se od tri koraka − kreiranje prostora, ekspozicija krunice zuba i forsirana erupcija. Nakon izvršene hirurške intervencije oslobađanja impaktiranog centralnog sekutića, u istom aktu postavljeno je dugme modifikovanom direktnom metodom bondiranja sa upredenom žicom od strane ortodonta, te se nakon skidanja konaca pristupilo vuči ovakvog zuba, pomoću fiksnog ortodontskog aparata (SWA tehnika). Kontrole su rađene na dve nedelje do pojave zuba. Nakon uspešnog izvlačenja impaktiranog zuba i njegovog postavljanja u zubni niz, pristupilo se restauraciji susednog centralnog sekutića sa leve strane, kako bi se dobila adekvatna veličina istog, ali i incizalna ravan, koja bi zadovoljavala sve funkcionalne i estetske parametre vezane za ovo doba deteta. Modifikovana metoda direktnog bondiranja dugmeta za površinu impaktiranog zuba pokazala se kao olakšana metoda, u odnosu na konvencionalnu metodu. Kvalitetna dijagnoza uz adekvatnu multidisciplinarnu terapiju daje zadovoljavajući rezultat u optimalnom vremenu.
Reference
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