Maksiller Lateral Diş ile Süpernümerer Diş Füzyonu ve Tedavisi: Bir Olgu Sunumu Fused Teeth That Are Maxillary Lateral Incisor with Supernumerary and Its Dental Treatment: A Case Report

OZET: Fuzyon; estetik, periodontal ve ortodontik problemlere neden olan bir dental anomalidir. Bu calismanin amaci; maksiler lateral dis ile fuzyon olusturmus supernumerer disin lateral disten ayrilip, ekstraksiyonu yapilarak, sonrasinda lateral dise form vererek fonksiyon ve estetigin iadesinin saglandigi vakanin paylasimidir. 10 yasindaki erkek hasta dis egriligi sikayetiyle klinigimize basvurdu. Hastanin alinan anamnezinde ve yapilan ekstraoral muayenesinde herhangi bir saglik sorununa rastlanmadi. Hastanin yapilan intraoral muayenesinde ust anterior bolgede supernumerer dis varligi ve sol lateral dis ile distalden fuzyonu gozlendi. Yapilan radyolojik muayenede fuzyon olusturan dislerin koklerinin ayrik oldugu saptandi. Agiz icerisinde herhangi bir patolojiye rastlanmadi. Fuzyon olusturan dislerin birlesim hattindan frez ile kesilerek ayrilmasi ve distopalatinal yondeki supernumerer disin ekstraksiyonu planlandi. Disler ayrildiktan sonra lateral disin pulpasinda perforasyon meydana geldi ve CVEK amputasyon yontemi ile tedavisi yapilip kompozit restorasyon ile bitirildi. Hastanin 12 aylik kontrolleri yapildi. Anahtar kelimeler: supernumerer dis, lateral dis, fuzyon, CVEK amputasyon. ABSTRACT: Fusion is a dental anomaly which causes problems such as aesthetics, periodontal, orthodontic disease. The purpose of this study is to provide aesthetics by extraction of supernumerary fused tooth with lateral tooth that is causing lack of space. It is a sharing case that aestetic and function were ensured by formed lateral tooth. 10 years old boy patient admitted to our clinic with the complaint of his tooth curvature. According to history of the patient, there is no systemic disease of the patient. No problems were observed in the extraoral diagnosis. In the intraoral diagnosis, presence of supernumerary teeth and fused with lateral tooth was observed. In the radiological diagnosis, roots are discrete. Another pathology were not encountered in the mouth. It was planned that the separation of the fused teeth by cut by cutters from junction line and distopalatinal supernumerary tooth was extracted. Perforation was observed on the lateral tooth and treated with CVEK amputation method. Treatment was completed with composite restoration. Controls of patient performed at 12 months. Treatment provided aesthetics by extraction of supernumerary fused tooth with lateral tooth that is causing lack of space so malalignment of teeth has disappeared. Perforation of lateral tooth was treated with amputation method.