Apeksifikasyon mu Rejenerasyon mu? Endodontide Tamir

Abstract

Rejeneratif endodonti, apeksi açık nekrotik pulpalı daimî azı dişlerde uygulanan yeni bir tedavi konseptidir. Bu işlem, kök yapısındaki hasarlı dentin ve pulpa-dentin kompleksinin sağlıklı doku ile değiştirilmesini sağlar. İlk olarak enfeksiyonun klinik semptomlarının ortadan kaldırılması, ardından kanal duvarlarında kalınlaşma sağlanarak kök olgunlaşmasının devam etmesi ve son olarak da hastanın kendi vital dokusu ile kökün doldurulması rejeneratif endodontinin ana hedefleridir. Olgunlaşmamış dişlerde geniş ve huni şeklindeki kök kanalından nekrotik ve enfekte dokunun çıkarılmasını içeren apeksifikasyon işlemi, geleneksel kanal tedavisi ile ilişkili bir başka bir çözümdür. Bu makalede, aynı hasta üzerinde rejeneratif endodonti ve apeksifikasyon işlemleri farklı dişlerde uygulanarak tedavi prosedürü ve sonuçları gözden geçirilmiştir.

Keywords

• rejeneratif endodonti
• apeksifikasyon
• MTA
• olgunlaşmamış daimî dişler

Apexification or Regeneration? Repair in Endodontics

Abstract

Regenerative endodontics is a new concept for the management of the permanent immature teeth with necrotic pulps. This procedure enables to replace damaged dentine and pulp-dentin complex within the root structure with healthy tissue. Firstly, elimination of clinical symptoms of the infection then, thickening of the canal walls and continuing root maturation and finally filled with the host’s own vital tissue are the main goals of regenerative endodontics. However, apexification is another solution associated with traditional root canal treatment for the teeth with necrotic pulp and immature root development. It involves removal of necrotic and infected tissue from the wide and funnel shape of root canal in immature teeth. The purpose of this article is to review regenerative endodontics and apexification in conjunction within a case.

Keywords

• regenerative endodontics
• apexification
• MTA
• immature permanent teeth

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