Kist Benzeri Geniş Periapikal Lezyonların Cerrahi Olmayan Endodontik Tedavisi: Olgu

Year 2013, Volume: 23 Issue: 3, 375 - 379, 01.03.2013

Dr. Neslihan Şimşek Dr. Alper Kuştarcı

Abstract

Treatments of large preapikal lesions generally combine various endodontic treatment options and requires long term patient follow up. Even though, apical surgical treatment could be an option in these cases, conventional root canal treatment should be the first choice. 15-year-old male patient who had a swelling that occurs from time to time at the palate referred to Endodontics clinic. During the radiologic examination cyst like lesions were determined on the apices of the maxillary left lateral and the maxillary right lateral seperately. After three years of root canals obturation with endodontic treatment without the need for a surgical treatment, a complete clinical and radiological healing of the periapical cyst-like lesions was observed. The aim of this case report is to present, primarily treatment of large periapical lesions should be orthograde method, and to provide a perspective to resort the surgical treatment when absence of healing during the routine controls.

Keywords

Large periapical lesion; periapical cyst.

KİST BENZERİ GENİŞ PERİAPİKAL LEZYONLARIN CERRAHİ OLMAYAN ENDODONTİK TEDAVİSİ: OLGU SUNUMU

Abstract

Büyük periapikal lezyonların tedavisi; cerrahi ile kombine endodontik tedavi seçeneklerini ve tedavi sonrası uzun süreli takipleri gerektirebilmektedir. Apikal cerrahi seçeneği böyle olgularda düşünülebilsede de geleneksel kök kanal tedavisi ilk tercih olmalıdır. 15 yaşındaki erkek hasta zaman zaman üst çenesinin damak kısmında meydana gelen şişlik nedeni ile Endodonti kliniğine başvurmuştur. Radyolojik muayene esnasında üst çene sol lateral ve sağ lateral dişlerin apekslerinde kist görünümlü lezyonlar saptanmıştır. Kök kanal tedavilerinin tamamlanmasından üç yıl sonra, cerrahi tedaviye gereksinim duymadan endodontik tedaviyle periapikal kist görünümlü lezyonların klinik ve radyolojik olarak tamamen iyileştiği görüldü. Bu olgu sunumunun amacı; büyük periapikal lezyonların öncelikle ortograd yöntemle tedavi edilmesi ve yapılan rutin kontrollerde lezyonda iyileşme olmadığı durumlarda cerrahi yöntemlere başvurulması fikrine bir bakış açısı daha sağlayabilmektir.

Keywords

Büyük periapikal lezyon, periapikal kist

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• Dr. Neslihan ŞİMŞEK İnönü Üniversitesi Diş Hekimliği Fakültesi Endodonti AD Malatya 44280, Türkiye [e-mail] Telefon: [phone] Faks : 090 422 3411107