Author/Editor     Gašpirc, Boris; Leban, Tina; Mandinić, Zoran; Pavlič, Alenka
Title     Decoronation ‐ a treatment option of an ankylosed permanent tooth in children and adolescents
Type     članek
Vol. and No.     Letnik God. , št. br.
Publication year     2020
Volume     str. str.
ISSN     0370-8179 - Srpski arhiv za celokupno lekarstvo : organ Srpskog lekarskog društva : Archives serbes de medicine
Language     eng
Abstract     Introduction. In children and growing adolescents, ankylotic resorption (i.e., progressive replacement resorption) of a permanent tooth is a serious complication. An ankylosed tooth root is continuously resorbed and replaced with bone; normal growth of alveolar bone is disturbed and infraposition of the dental crown progresses. This article aims to present decoronation as a very good treatment option for permanent incisors diagnosed with progressive replacement resorption in children and adolescents. Case outline. A 9.5-year-old boy was referred with non-vital both upper central permanent incisors due to dental trauma. In the left one, which had been re-implanted 90 minutes after avulsion, progression of clinical and radiographic pathological signs of ankylotic resorption was observed over the months. To prevent the local arrest of alveolar ridge growth and tilting of adjacent teeth, we decoronated the ankylosed tooth. For aesthetic and functional rehabilitation adhesive bonding of his dental crown was performed. Conclusion. In growing individuals with progressive replacement resorption, a dentist should be aware of decoronation as an effective treatment option with a predictable outcome.
Keywords     decoronation
progressive replacement resorption
ankylosis
dekoronacija
progresivna nadomestna resorpcija
ankiloza