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Acta medica Medianae
2019, vol. 58, br. 2, str. 62-69
jezik rada: engleski
vrsta rada: prikaz slučaja
objavljeno: 09/09/2019
doi: 10.5633/amm.2019.0211
Creative Commons License 4.0
Ortodontski tretman ankiloze stalnih zuba nakon izvedene hirurške luksacije
aSpecialist Orthodontic Dental Pracice Ortis, Novi Sad
bUniverzitet u Nišu, Medicinski fakultet, Stomatološka klinika

e-adresa: ortis.co@gmail.com

Sažetak

Ankiloza zuba je proces srastanja korena zuba za okolno koštano tkivo u kome dolazi do gubitka periodontalnog ligamenta, a u kasnijim fazama do pretvaranja korena zuba u koštano tkivo i do gubitka samog zuba. Etiologija ovakvih stanja kreće se od traume, genetske predispozicije, poremećaja metabolizma, lokalnih poremećaja, endokrinih poremećaja, jatrogenih uzroka pa do idiopatskih faktora. Posledice su evidentne i odnose se na izostanak rasta ankilotičnih zuba usled čega dolazi do nonokluzije, inklinacije susednih zuba, erupcije zuba oponenata i narušavanja cele okluzije. Terapija može biti hirurška, konzervativna, ortodontska ili kombinovana. Slučaj prikazan u ovom radu svedoči o efikasnosti hirurške luksacije ankilotičnih zuba praćene neposrednom primenom ortodontske elastične vuče. Ishod može biti diskutabilan, ali s obzirom na lošu prognozu ankilotičnih zuba, hirurška luksacija predstavlja bolji terapeutski izbor od suočavanja sa mogućim posledicama izostanka ili primene uobičajenih tretmana ankilotičnih zuba.

Ključne reči

ankiloza stalnih zuba; etiologija; prognoza; terapija

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