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Periodontal Dokulara Taşmış Güta Perkanın Cerrahi Olmayan Yöntemle Çıkarılması: İki Olgu Sunumu

Year 2023, Volume: 9 Issue: 3, 111 - 116, 01.12.2023

Abstract

GİRİŞ
Kök kanal tedavisi sırasında dolum materyallerinin kök kanalları ile sınırlandırılması gerektiği bilinmektedir. Taşan dolgu materyali inflamatuar yanıta sebep olabilir, böyle bir tedavi görüldüğünde dolgu materyali kök kanallarından ve komşu dokulardan temizlenmelidir. Bu çalışmanın amacı, önceden tedavi edilmiş semptomatik dişlerden periodontal dokulara taşmış guta perkanın cerrahi olmayan şekilde çıkarılmasına ilişkin 2 vakayı tanımlamaktır. Bu vakalar için kullanılan yöntem, periapikal dokulardan guta perka çıkarmak için güvenli ve konservatiftir.
OLGU SUNUMLARI
17 yaşında erkek hasta,sol alt azı bölgesinde rahatsızlık şikayeti ile yönlendirildi. Hasta, sol mandibular birinci molar dişinin dört ay önce kanal tedavisi gördüğünü bildirdi. Klinik olarak diş perküsyona duyarlıydı. Periapikal radyografi alındı ve mesial kökün ötesine taşan guta perka gözlendi. Klinik ve radyografik değerlendirmeye göre semptomatik apikal periodontitis tanısı konuldu. Tedaviye cerrahi olmayan yeniden endodontik tedavi olarak karar verildi.
31 yaşında erkek hasta sol maksiller ikinci küçük azı ve birinci azı dişinin tedavisi için yönlendirildi. 3 ay önce, sevk eden diş hekimi tarafından endodontik tedavi gördüğünü bildirdi. Klinik muayenede hem sol maksiller ikinci premolarda hem de sol maksiller birinci molarda perküsyona duyarlılık görüldü. Periapikal radyografide sol maksiller birinci moların palatinal kökünde taşkın guta perka gözlendi. Klinik ve radyografik muayeneye göre semptomatik apikal periodontitis tanısı kondu. Guta perkanın cerrahi olmayan endodontik tedavi ile çıkarılmasına karar verildi.
SONUÇ
Başarısız bir kök kanal tedavisinin yeniden tedavisi genellikle kanal dolgusunun tamamen çıkarılmasını gerektirir. Guta perkanın el eğeleriyle geleneksel olarak çıkarılması zahmetli ve zaman alıcı olabilse de, bu prosedür, vaka raporunda sunulduğu gibi periodontal dokulara taşmış guta perka dolgularını çıkarmak için güvenilir bir yöntemdir.

References

  • Cohen, S., & Burns, R. (1984). Pathways of the pulp (3rd ed.). St. Louis: CV Mosby.
  • Danin, J., Stromberg, T., Forsgren, H., Linder, L., & Ramskold, L. (1996). Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82, 213–217.
  • Duncan, H., & Chong, B. (2008). Removal of root filling materials. Endod Topics, 19, 33–57.
  • Hülsmann, M., & Bluhm, V. (2004). Efficacy, cleaning ability and safety of different rotary niti instruments in root canal retreatment. Int Endod J, 37, 468–476.
  • Ingle, J., Luebke, R., Zidell, J., Walton, R., & Taintor, J. (1985). Obturation of the radicular space (3rd ed.). Philadelphia: Lea Febiger.
  • Kesim, B., Üstün, Y., Aslan, T., Topçuoğlu, H., Şahin, S., & Ulusan, Ö. (2017). Efficacy of manual and mechanical instrumentation techniques for removal of overextended root canal filling material. Niger J Clin Pract, 20, 761–766.
  • Khabbaz, M., & Papadopoulos, P. (1999). Deposition of calcified tissue around an overextended gutta-percha cone: Case report. Int Endod J, 32, 232–235.
  • Kvist, T., & Reit, C. (1999). Results of endodontic retreatment: A randomized clinical study comparing surgical and nonsurgical procedures. J Endod, 25, 814– 817.
  • Kvist, T., & Reit, C. (2000). Postoperative discomfort associated with surgical and nonsurgical endodontic retreatment. Endod Dent Traumatol, 16, 71–74.
  • Masiero, A., & Barletta, F. (2005). Effectiveness of different techniques for removing gutta-percha during retreatment. International Endodontic Journal, 38(1), 2–7.
  • Metzger, Z., & Ben-Amar, A. (1995). Removal of overextended gutta-percha root canal fillings in endodontic failure cases. Journal of Endodontics, 21(5), 287–288.
  • Paik, S., Sechrist, C., & Torabinejad, M. (2004). Levels of evidence for the outcome of endodontic retreatment. J Endod, 30, 745–750.
  • Schirrmeister, J., Werbas, K., Meyer, K., Altenburger, M., & Hellwig, E. (2006). Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod, 32, 469–472.
  • Silva, E., Herrera, D., Lima, T., & Zaia, A. (2012). A nonsurgical technique for the removal of overextended gutta-percha. J Contemp Dent Pract, 13, 219–221.
  • Swartz, D., Skidmore, A., & Griffin, J. (1983). Twenty years of endodontic success and failure. J Endod, 9, 198–202.

Non-surgical Removal Of Gutta-Percha Extended To Periodontal Tissues: A Report Of Two Cases

Year 2023, Volume: 9 Issue: 3, 111 - 116, 01.12.2023

Abstract

INTRODUCTION
It is known that during endodontic treatment, root canal materials should be confined to the root canals. Overextended material may cause an inflammatory response. Filling materials should be cleaned from the root canals and adjacent tissues. The purpose of this study is to describe 2 cases of the nonsurgical removal of extended gutta-percha to periodontal tissues from symptomatic teeth. The described method used is safe and conservative.
CASE REPORTS
A 17-year-old male was referred to us with a complaint of discomfort at his left mandibular molar region. The left mandibular first molar was received root canal therapy four months previously. Clinically, the tooth was sensitive to percussion. At the periapical radiography, a gutta-percha extruded beyond the root was observed. Based on the evaluation, symptomatic apical periodontitis was diagnosed.
A 31-year-old male was referred for treatment of his left maxillary second premolar and first molar. 3 months earlier, he had undergone endodontic treatments. Clinical examination showed sensitivity to percussion at both teeth. At the periapical radiography, an extruded gutta-percha beyond the root of left maxillary first molar was observed. According to the examination, symptomatic apical periodontitis was diagnosed.
Removing the gutta-percha by nonsurgical endodontic retreatment was decided on both cases.
CONCLUSION
Retreatment of a failed endodontic treatment often requires complete removal of the root canal filling. Although conventional removal of gutta-percha by hand files can be painstaking and time-consuming, this procedure is a reliable method to remove overextended gutta-percha from root canal failure cases as presented in this case report.

References

  • Cohen, S., & Burns, R. (1984). Pathways of the pulp (3rd ed.). St. Louis: CV Mosby.
  • Danin, J., Stromberg, T., Forsgren, H., Linder, L., & Ramskold, L. (1996). Clinical management of nonhealing periradicular pathosis. Surgery versus endodontic retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 82, 213–217.
  • Duncan, H., & Chong, B. (2008). Removal of root filling materials. Endod Topics, 19, 33–57.
  • Hülsmann, M., & Bluhm, V. (2004). Efficacy, cleaning ability and safety of different rotary niti instruments in root canal retreatment. Int Endod J, 37, 468–476.
  • Ingle, J., Luebke, R., Zidell, J., Walton, R., & Taintor, J. (1985). Obturation of the radicular space (3rd ed.). Philadelphia: Lea Febiger.
  • Kesim, B., Üstün, Y., Aslan, T., Topçuoğlu, H., Şahin, S., & Ulusan, Ö. (2017). Efficacy of manual and mechanical instrumentation techniques for removal of overextended root canal filling material. Niger J Clin Pract, 20, 761–766.
  • Khabbaz, M., & Papadopoulos, P. (1999). Deposition of calcified tissue around an overextended gutta-percha cone: Case report. Int Endod J, 32, 232–235.
  • Kvist, T., & Reit, C. (1999). Results of endodontic retreatment: A randomized clinical study comparing surgical and nonsurgical procedures. J Endod, 25, 814– 817.
  • Kvist, T., & Reit, C. (2000). Postoperative discomfort associated with surgical and nonsurgical endodontic retreatment. Endod Dent Traumatol, 16, 71–74.
  • Masiero, A., & Barletta, F. (2005). Effectiveness of different techniques for removing gutta-percha during retreatment. International Endodontic Journal, 38(1), 2–7.
  • Metzger, Z., & Ben-Amar, A. (1995). Removal of overextended gutta-percha root canal fillings in endodontic failure cases. Journal of Endodontics, 21(5), 287–288.
  • Paik, S., Sechrist, C., & Torabinejad, M. (2004). Levels of evidence for the outcome of endodontic retreatment. J Endod, 30, 745–750.
  • Schirrmeister, J., Werbas, K., Meyer, K., Altenburger, M., & Hellwig, E. (2006). Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod, 32, 469–472.
  • Silva, E., Herrera, D., Lima, T., & Zaia, A. (2012). A nonsurgical technique for the removal of overextended gutta-percha. J Contemp Dent Pract, 13, 219–221.
  • Swartz, D., Skidmore, A., & Griffin, J. (1983). Twenty years of endodontic success and failure. J Endod, 9, 198–202.
There are 15 citations in total.

Details

Primary Language Turkish
Subjects Endodontics
Journal Section Case Report
Authors

Gözde Ozcanli 0000-0002-6954-2452

Publication Date December 1, 2023
Submission Date July 5, 2023
Published in Issue Year 2023 Volume: 9 Issue: 3

Cite

Vancouver Ozcanli G. Periodontal Dokulara Taşmış Güta Perkanın Cerrahi Olmayan Yöntemle Çıkarılması: İki Olgu Sunumu. Aydin Dental Journal. 2023;9(3):111-6.

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