Reinkluzja zębów mlecznych. Postępowanie lecznicze na przykładzie dwóch różnych przypadków reinkluzji zębów mlecznych

Wojciech Popowski¹, *Aneta Wrzosek¹, Hubert Gołąbek², Tomasz Wesołowski², Andrzej Wojtowicz¹

Summary
Introduction: The concept of reinclusion understands a slow process leading to a gradual move of a tooth apart from the occlusion into the alveolar bone. The etiology of the described pathology is not clear, there are many hypotheses of the mechanisms leading to flooding of a tooth. The most likely of these seems to be the theory of periodontium damage leading to ankylosis of a tooth to the alveolar bone. Reinclusion of the tooth recognize by clinical treatment and x-rays. Typical symptom is infraoclusion – the only one present in all cases. Crown reduction of 1 mm or more is classified as reinclusion tooth.
Aim: We present two cases of milk teeth in reinclusion and consequences of a lack of proper treatment and compare the results with the available literature.
Material and methods: The article presents the clinical and therapeutic procedures undertaken in two patients diagnosed with reinclusion of molar teeth. Case No. 1 is 40-year-old patient in whom it was found, according to the Pytlik classification, reinclusion form B, which corresponds to the total flooding of tooth. Case No. 2 is a 13-year-old girl with a recognized form of reinclusion A2 corresponding tooth cavity over 1/2 of the neighboring tooth. In both cases the reincluded teeth were extracted.
Results: Teeth reinclusion leads to disturbances of the process of natural dentition exchange. Milk teeth in reinclusion should be differentiated from persistent teeth. In the absence of a permanent tooth germ can remain persistent milk tooth. Leaving reincluded tooth may cause long-term complications in the form of inflammation, as well as disorders such as abnormal occlusion setting of the adjacent teeth.
Conclusions: The method of choice used to treat reincluded teeth is to remove the tooth.

To jest tylko fragment artykułu. Aby przeczytać całość, przejdź do Czytelni medycznej.