Kasıtlı Replantasyon ve Er, Cr: YSGG Lazer ile Alternatif Kök Yüzey Tedavisi: 36 Aylık Vaka Takibi

Year 2016, Volume: 5 Issue: 1, 6 - 9, 01.04.2016

Esra Ercan Davut Çelik Cihan Uysal Güneş Bulut Eyüpoğlu

Abstract

Kasıtlı replantasyon periodontal olarak umutsuz dişlerin tedavisinde bir tedavi seçeneğidir. Bu işlem sırasında, uygun kök yüzey muamelesi kritik bir aşamadır ve ankilozu geciktirerek sonucu pozitif etkilemektedir. Bu amaçla farklı yöntemler kullanılmaktadır. Bu vaka raporunda kök yüzey muamelesinde Er, Cr: YSGG lazer kullanılmıştır. Aşırı kemik kaybı olan periodontal açıdan umutsuz dişin tedavisinde replantasyon kararı verilmiştir. Kök kanal tedavisinden sonra çekim gerçekleştirilmiş ve Er, Cr: YSGG lazer ile kök yüzey muamelesi yapılmıştır. Otuzaltı ayın sonunda kök rezorpsiyonu izlenmemiştir. Klinik olarak da herhangi bir inflamasyon bulgusuna rastlanmamış ve ilave ataçman kazancı olduğu görülmüştür. Bu vaka raporuna göre Er, Cr: YSGG lazer, periodontal olarak umutsuz dişlerin replantasyonunda kök yüzey muamelesi aşamasında umut vadedici sonuçlar ortaya koymuştur. Er, Cr: YSGG lazerin kasıtlı replantasyondaki etkinliğini ortaya koymak için uzun dönemli kontrollü klinik ve histolojik çalışmalara ihtiyaç vardır

Keywords

Kasıtlı Replantasyon, Er: Cr: YSGG Lazer, Kök Yüzey Muamelesi

Intentional Replantation and Alternative Root Surface Treatment with an Er, Cr: YSGG Laser: 36-Month Follow-up of a Case

Abstract

Intentional replantation is a treatment option for periodontally hopeless teeth. During the process, appropriate treatment of the root surface, a critical treatment step, has a positive effect by delaying ankylosis. Different methods are used for this purpose. In this case report, the root surface of the maxillary first incisor was treated with an Er, Cr: YSGG laser. The patient had a hopeless tooth with excessive bone resorption and we decided to attempt replantation. After root canal treatment, extraction was performed and the root surface was treated with an Er, Cr: YSGG laser. After 36 months, there was no evidence of root resorption. Periodontal attachment gain was seen, with no gingival inflammation. In this case report, the root surface of a periodontally hopeless tooth was treated with an Er, Cr: YSGG laser with promising results. Long-term controlled clinical trials and histological studies are needed to investigate the potential impact of Er, Cr: YSGG laser treatment in intentional replantation

Keywords

Intentional Replantation, Er, Cr: YSGG Laser, Root Surface Treatment

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