Ortodontik Mini Vida Tedavisi Sebebiyle Gelişen Periapikal Lezyon: Vaka Sunumu

Abstract

Ortodontik mini vidalar, stabil ankraj sağlayabilmeleri nedeniyle ortodontik tedavilerde yaygın olarak kullanılan materyallerdir. Bununla birlikte, kök apeksine yakın yerleştirildiklerinde pulpal hasar, perforasyon, kök rezorpsiyonu ve periapikal irritasyon gibi komplikasyonlara neden olabilirler. Bu olgu sunumu, ortodontik tedavi sırasında mandibular sağ kanin dişin kök apeksine yakın yerleştirilen mini vida sonucu gelişen periapikal lezyonun cerrahi olmayan endodontik tedavisini sunmaktadır. Ayrıntılı anamnez, klinik ve radyolojik muayenede periapikal bölgede bir sinüs traktı ve radyolusent bir alan saptanmıştır. Tüm tedavi seçenekleri hastaya açıklandıktan sonra rutin bir kök kanal tedavisi planlanmıştır. Takip sürecinde sinüs traktı iyileşmiş ve lezyonun radyografik iyileşmesi 48. ayda tamamen belirgin hale gelmiştir. Bu olgu sunumu, ortodontik tedavi sırasında kök apeksine yakın yerleştirilen mini vidaların komplikasyonlara yol açabileceğini, ancak bu problemlerin konservatif endodontik tekniklerle etkili bir şekilde çözülebileceğini göstermektedir.

Keywords

• ortodontik ankraj teknikleri
• ortodontik diş hareketi
• kök kanal tedavisi
• periapikal hastalık

Endodontic Management of a Periapical Lesion Induced by an Orthodontic Mini-Screw: A Case Report

Abstract

Orthodontic mini-screws are commonly used materials in orthodontic treatment because they can provide stable anchorage. Nevertheless, if placed close to the root apex, they can cause complications including pulpal injury, perforation, root resorption, and periapical irritation. This case study presents the non-surgical endodontic treatment of a periapical lesion that developed as a result of mini-screw placement near the root apex of a mandibular right canine during orthodontic therapy. Thorough anamnesis, clinical, and radiological examinations revealed a sinus tract and a radiolucent area in the periapical region. A routine root canal treatment was planned after all treatment modalities were explained to the patient. The sinus tract healed during follow-up, and complete radiographic healing of the lesion was apparent at 48 months. This case report demonstrates that mini-screws placed near the root apex during orthodontic treatment can cause complications, but these issues can be resolved effectively with conservative endodontic techniques.

Keywords

• Orthodontic anchorage procedure
• orthodontic tooth movement
• periapical disease
• root canal therapy

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